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79 episodes with primary survey
2 episodes with primary survey
2 episodes with primary survey
What might yawning and sneezing be signs of in a patient? This month's podcast features new RCEM and NPIS guidance on acute opioid toxicity, outlining a number of symptoms to stay alert to. Before getting to that there's a paper on bypassing hospitals for patients needing mechanical thrombectomy, a study on how austerity affected emergency admissions across a range of UK local authorities, and some research on the immune-related adverse affects that can arise in the ED amongst oncological patients. Read the issue highlights: July 2024 Primary Survey Articles discussed in this episode: Healthcare professional views about a prehospital redirection pathway for stroke thrombectomy: a multiphase deductive qualitative study. Day J, Simmonds RL, Shaw L, et al Are local public expenditure reductions associated with increases in inequality in emergency hospitalisation? Time-series analysis of English local authorities from 2010 to 2017. Castro-Ávila AC, Cookson R, Doran T, et al Management and outcome of oncological patients under immune checkpoint inhibitors presenting at the emergency department. Pini F, Grigoriu B, Lieveke A, et al Joint RCEM and NPIS best practice guideline: assessment and management of acute opioid toxicity in adults in the emergency department. Blundell M, Gill R, Thanacoody R, et al The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
How well do patients in the emergency department judge the severity of their situation? Some may fear the worst for any hospital visit, and others not realise that their lives are in danger. This month's first paper is a review of the accuracy of self-prognostication and its relation to admission, severity, and length of stay. Then there's a trio of publications on the challenges of pain in various forms. Starting with a study on the links between red flags in headache assessment, and serious secondary headaches. Next there is a letter, questioning how well pain management is done in the ED. To finish, a new scale has been developed to assess ultrasound-guided fascia iliaca block. Read the issue highlights: June 2024 Primary Survey Articles discussed in this episode: Can acutely ill patients predict their outcomes? A scoping review. Mols EM, Haak H, Holland M Safer@Home Research Consortium, et al Predictive performance of the common red flags in emergency department headache patients: a HEAD and HEAD-Colombia study. Chu K, Kelly A, Kuan WS HEAD and HEAD-Colombia study groups, et al Pain in the ED: does anyone manage it well? Wilson S, Dainty J, Quinlan J, et al Development and validation of an assessment tool for adult simulated ultrasound-guided fascia iliaca block: a prospective monocentric study. Guyader F, Violeau M, Guenezan J, et al The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
Should we be bringing preventative medicine into the emergency department, or is it just using up valuable time? Our first paper this month looks at the "Cessation of Smoking Trial in the Emergency Department (COSTED)" trial, which presents the case for opportunistic smoking cessation intervention. Next up is a topical research paper on interpreting CT scans with artificial intelligence, and how machine assessment measures up against experienced physicians. Then there's a trio of troponin papers, discussing high-sensitivity testing. The final paper this time is not a paper but a guideline from the Royal College of Emergency Medicine, setting out best practices for dealing with suspected cannabinoid hyperemesis syndrome. Articles discussed in this episode: Cessation of Smoking Trial in the Emergency Department (COSTED): a multicentre randomised controlled trial. Pope I, Clark LV, Clark A, et al Using an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels. Warman P, Warman A, Warman R, et al External validation of a rapid algorithm using high-sensitivity troponin assay results for evaluating patients with suspected acute myocardial infarction. Cullen L, Greenslade JH, Stephensen L 2022 SAMIE study group, et al High-sensitivity troponin testing at the point of care for the diagnosis of myocardial infarction: a prospective emergency department clinical evaluation. Curran JM, Mergo A, White S, et al Determination of a whole-blood single-test low-risk threshold for a point-of-care high-sensitivity troponin assay. Pickering JW, Hamill L, Aldous S, et al RCEM best practice guideline: suspected cannabinoid hyperemesis syndrome in emergency departments. Humphries C, Gillings M The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
A feast of aortic papers this month, including a study on missed aortic dissection diagnoses and an analysis of coroners' reports. Rick runs through the findings of an interesting study from the Trainee Emergency Research Network (TERN), and Sarah finishes off with a paper on predicting adverse outcomes in elderly patients with orthopaedic trauma. Articles discussed in this episode: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Hodgson S, O'Mahony K, Nicholson J, et al. Thematic analysis of ‘Prevention of Future Deaths' reports related to emergency departments in England and Wales 2013–2022. McLatchie R, Reed MJ, Freeman N on behalf of the DAShED investigators, et al. Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome. Isaac CJ, Moore L, Bérubé M, et al. Predictors of adverse outcomes in elders hospitalised for isolated orthopaedic trauma: a multicentre cohort study. Related links: RCEM Learning: Aortic Dissection podcast. Trainee Emergency Research Network. The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
There's a lot of drugs to be talked about this month, and a heap of randomised control trials to be covered too. Rick and Sarah talk though the combining of nitrous oxide and fentanyl for sedation, the environmental impact of analgesics, the efficacy of acute heart failure treatment with high-dose and low-dose nitrates, and more newly published work from the latest issue of the journal. Articles discussed in this episode: Safety and efficacy of a nitrous oxide procedural sedation programme in a paediatric emergency department: a decade of outcomes https://emj.bmj.com/content/41/2/76 Environmental impact of low-dose methoxyflurane versus nitrous oxide for analgesia: how green is the ‘green whistle'? https://emj.bmj.com/content/41/2/69 High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial https://emj.bmj.com/content/41/2/96 Trip-killers: a concerning practice associated with psychedelic drug use https://emj.bmj.com/content/41/2/112 Effect of intranasal sufentanil on acute post-traumatic pain in the emergency department: a randomised controlled trial https://emj.bmj.com/content/41/2/83 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
What are the questions to ask when dealing with acute behavioural disturbance? Join Sarah and Rick this month for a discussion of this difficult presentation. They also explore the topics of reducing low-acuity attendance, taking NHS 111 online, and the impact of a health coaching intervention for potentially recurrent attendees. Articles discussed in this episode: Highlights of the January 2024 issue https://emj.bmj.com/content/41/1/1 Consensus on acute behavioural disturbance in the UK: a multidisciplinary modified Delphi study to determine what it is and how it should be managed https://emj.bmj.com/content/41/1/4 What impact would reducing low-acuity attendance have on emergency department length of stay? A discrete event simulation modelling study https://emj.bmj.com/content/41/1/27 How could online NHS 111 reduce demand for the telephone NHS 111 service? Qualitative study of user and staff views https://emj.bmj.com/content/41/1/34 Impact on all-cause mortality of a case prediction and prevention intervention designed to reduce secondary care utilisation: findings from a randomised controlled trial https://emj.bmj.com/content/41/1/51 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Hear a summary of some of the best papers published in the December 2023 issue of the Emergency Medicine Journal. The podcast this month covers a trio of ultrasound papers addressing its use in the treatment of distal radial fractures, and thoracic and abdominal stab wound injuries. Featured also is a paper investigating the effectiveness of a predictive system for COVID-19 triage by telephone. Read the highlights: https://emj.bmj.com/content/40/12/803 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Hear a summary of some of the best papers published in the November 2023 issue of the Emergency Medicine Journal. This month's podcast discusses a wide array of topics like cauda equina syndrome, biases in blood alcohol testing services, bystander CPR effectiveness in cardiac arrest, and the healthcare impacts of e-scooter use. Read the highlights: https://emj.bmj.com/content/40/11/741 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
Hear a summary of some of the best papers published in the October 2023 issue of the Emergency Medicine Journal. This month's podcast covers a variety of topics from litigation issues in the ED, young people's experiences in the Paediatric ED, parental anxiety in the PED, and all about 'Silver trauma'. Read the highlights: https://emj.bmj.com/content/40/10/687. The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
This is the summary of some of the best papers we published in the September 2023 issue of the Emergency Medicine Journal. Rick and Sarah discuss a trio of papers on health services, the use of isopropyl alcohol as an anti-emetic, and they talk to Dr Anna Collini, co-author of a paper that explores how new emergency medicine consultants experience uncertainty (https://emj.bmj.com/content/40/9/624). Read the highlights: https://emj.bmj.com/content/40/9/621. The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
A summary of some of the best paper we published in the August 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics touching on the assessment of scaphoid and ankle injuries, patient involvement in research, frequent attendees to the ED, and deciding which patients to escalate during a pandemic. Read the highlights: https://emj.bmj.com/content/40/8/539 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
So in this episode we're going to run though the primary survey in trauma. This clinical assessment helps us identify and treat life threatening injuries and to rapidly intervene and correct them, so getting it right really matter1. How this is done is hugely dependant upon the setting (either pre or in-hospital) as it is affected by the access to the patient, the number of people there to contribute to care and the challenges that the scene or hospital environment might hold. We run through a model of primary survey that looks to gain as much information as possible in a rapid and effective pattern and discuss the slightly different approaches we all take, along with rationale behind them. Finally we cover the communication of the primary survey to the team, strategies that we can undertake to achieve this and how this can affect the momentum and onwards care of the patient. We found this a really useful topic to consider in some depth and we hope it's of use to you too! Once again we'd love to hear any comments or questions either via the website or social media. Enjoy! Simon, Rob & James
A summary of some of the best paper we published in the July 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics on Pre Hospital assessment of chest pain, management of pain in the emergency department and some thoughts on improving the experience for the waiting patient. Read the highlights: https://emj.bmj.com/content/40/7/471 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
A summary of some of the best paper we published in the June 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics including home pulse oximetry, out of hospital cardiac arrest, the perils of correctly calculating respiratory rate in the ED and even cross-cultural adaptation of patient communication material. Read the highlights: https://emj.bmj.com/content/40/6/393 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
A summary of some of the best paper we published in the June 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics including home pulse oximetry, out of hospital cardiac arrest, the perils of correctly calculating respiratory rate in the ED and even cross-cultural adaptation of patient communication material. Read the highlights: https://emj.bmj.com/content/40/6/393 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
Rick Body, University of Manchester and Manchester University NHS Foundation Trust, and Sarah Edwards, University Hospitals of Derby NHS Foundation Trust, cover the pick of the papers from EMJ's May 2023 issue. In this edition, we cover papers on shoulder dislocation, blunt chest trauma, uterine bleeding, medical errors, benign paroxysmal position vertigo, and calcium and QTc interval. Read the highlights: https://emj.bmj.com/content/40/5/317 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
A summary of some of the best paper we published in the April 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics including the impact of emergency physician gender on the outcomes of patients with early pregnancy loss; major trauma centre care for patients with low velocity trauma; the development of a new checklist for emergency paediatric intubation; the effect of head-up position on intubation success in the Emergency Department; and spiking by injection in the ED. One great feature of this month's papers is that there is so much that's immediately relevant to our clinical practice. Read the highlights: https://emj.bmj.com/content/40/4/239 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
A summary of some of the best papers we published in the March 2023 issue of the Emergency Medicine Journal. EMJ's deputy editor Rick Body and social media editor Sarah Edwards talk through topics including biomarkers of traumatic brain injury, the limping child, hypothermia and sepsis in infants and the importance of avoiding secondary insults in patients intubated for traumatic brain injury in the prehospital environment. Read the highlights: https://emj.bmj.com/content/40/3/157 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
The best of the papers from our February 2023 issue, covered by Sarah Edwards and Rick Body. This month we cover great papers on COVID-19 and wellbeing, domestic violence and the diagnosis of testicular torsion. Read the highlights: https://emj.bmj.com/content/40/2/83. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
A rundown of some of the best papers we published in the January 2023 edition of the journal. We cover an excellent practice review on the management of pulmonary embolism, going through some of the great pearls of wisdom relevant to our practice. How do you risk stratify patients with PE? What do you treat them with and how do you decide, especially when there are special considerations? When should you use thrombolysis? We cover a national survey of practice for prophyalxis of venous thromboembolism in patients who need lower limb immobilisation, we look at ambulance service configuration (should we have more rapid response vehicles?), we look at the outcomes of children who received 999 ambulance responses but weren't transported to hospital, and we look at whether vitamin D deficiency predicts outcome for patients with severe sepsis. Read the highlights: https://emj.bmj.com/content/40/1/1. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
In this episode, we review the high-yield topic of Primary Survey and Resuscitation from the Orthopedics section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
A selection of the best papers from our December 2022, picked apart and distilled for you by Rick Body and Sarah Edwards. In this festive issue we cover anaesthesia for paediatric forearm fractures, ultrasound diagnosis of acute appendicitis, a deep dive into the predictive value of vital signs, clinical judgement versus early warning scores, pulmonary embolism and... Do you know what calibration drift is? If not, listen and you'll find out! Read the highlights: https://emj.bmj.com/content/39/12/881. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
A selection of the best papers from our November 2022 edition. Rick and Sarah take you through five great papers discussing headache, subarachnoid haemorrhage, pre-hospital births, how to mitigate emergency physician stress in resuscitation and pathways for the early diagnosis of acute myocardial infarction. Read the highlights: https://emj.bmj.com/content/39/11/799. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
The best of our October 2022 issue, covering a superb qualitative study exploring the experience of older adults in the Emergency Medicine Journal with a wonderful accompanying editorial; a look at variation in practice for treating pre-orbital and orbital cellulitis in children; the association between anticoagulation and mortality in major trauma; point of care testing for tetanus immunity and more. Read the highlights: https://emj.bmj.com/content/39/10/723 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, give an overview of the best of the September issue of the Emergency Medicine Journal. They cover a plethora of clinically relevant papers. There's a terrific non-inferiority trial looking at the use of non-sterile gloves to repair traumatic wounds in the Emergency Department, two great papers that look at whether we might avoid x-ray for patients with suspected shoulder dislocation (one involving ultrasound), a fascinating paper involving the pre-hospital use of echocardiography and point of care troponin testing for patients with chest pain and more. Read the highlights: https://emj.bmj.com/content/39/9/647, and the complete issue: https://emj.bmj.com/content/39/9. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, take you through the best of the Emergency Medicine Journal in August 2022, covering topics from COVID-19 to triage to community Emergency Medicine to complications of emergency intubation in children and survival rates for out of hospital cardiac arrest. Read the highlights: https://emj.bmj.com/content/39/8/567, and the complete issue: https://emj.bmj.com/content/39/8. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, take you through the best of the Emergency Medicine Journal in July 2022. They cover some important topics including ED crowding, telephone triage, unrecognised endobroncheal intubation, acute coronary syndromes and pre-hospital trauma. Read the highlights: https://emj.bmj.com/content/39/7/491 If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
This month we have a feast of studies looking at cardiac arrest. Want to know if one-handed CPR is any good for multi-tasking pre-hospital responders? You'll find out if you listen. Want to know if pre-hospital ECMO should be a thing for elite athletes at major events? We cover that too. Want to know if machine learning is about to revolutionise our practice and solve all our crowding problems? It's all here. And more. Take a listen and keep yourself at the cutting edge! Read the highlights: https://emj.bmj.com/content/39/5/343 If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the very best of the Emergency Medicine Journal with most of the papers we published in April 2022. We cover everything from sepsis and qSOFA scoring to how to manage traumatic pneumothoraces and how to recognise cervical spine injuries. We even look at the problem we have with convenience sampling in Emergency Medicine clinical research studies. Do we need to make big changes? Have a listen and find out! Read the highlights: https://emj.bmj.com/content/39/4/269 If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the highlights of the March 2022 edition of the EMJ. We've picked out some of the hottest, most controversial papers from this month's episodes and we're privileged to have the thoughts of the EMJ Editor in Chief, Ellen Weber. We'll discuss hot issues from the association between exit block and mortality, the 4-hour target, the prognostic importance of admitting patients to outlying wards, decision aids for traumatic brain injury and to predict hospital admission [is doctor better than computer at deciding who needs admission?] and lung ultrasound for COVID-19. Read the highlights: https://emj.bmj.com/content/39/3/165 You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the highlights of the February edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/39/2/85. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244). Thank you for listening!
Rick Body, Deputy Editor of EMJ, and Sarah Edwards, Social Media Editor of EMJ, talk through the highlights of the January 2022 edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/39/1/1 Details of the papers mentioned in the podcast: Frequent attendance at the emergency department shows typical features of complex systems: analysis of multicentre linked data: https://emj.bmj.com/content/39/1/3 Heterogeneity of reasons for attendance in frequent attenders of emergency departments and its relationship to future attendance: https://emj.bmj.com/content/39/1/10 Non-urgent emergency department attendances in children: a retrospective observational analysis: https://emj.bmj.com/content/39/1/17 How much time do doctors spend providing care to each child in the ED? A time and motion study: https://emj.bmj.com/content/39/1/23 Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis: https://emj.bmj.com/content/39/1/30 Prehospital continuous positive airway pressure (CPAP) for acute respiratory distress: a randomised controlled trial: https://emj.bmj.com/content/39/1/37 Effects of sleepiness on clinical decision making among paramedic students: a simulated night shift study: https://emj.bmj.com/content/39/1/45 Incidence and impact of incivility in paramedicine: a qualitative study: https://emj.bmj.com/content/39/1/52 COVID-19 rapid diagnostics: practice review: https://emj.bmj.com/content/39/1/70
Simon Carley, Associate Editor of EMJ, talks through the highlights of the December 2021 edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/38/12/867 Details of the papers mentioned in this podcast can be found below: Evaluation of a state law on opioid-prescribing behaviour and the void affecting codeine-containing antitussive syrup - https://emj.bmj.com/content/38/12/889 We Need to Talk About Codeine: an Implementation Study to reduce the number of Emergency Department patients discharged on high-strength co-codamol using the Behaviour Change Wheel - https://emj.bmj.com/content/38/12/895 Feasibility and usefulness of rapid 2-channel-EEG-monitoring (point-of-care EEG) for acute CNS disorders in the paediatric emergency department: an observational study - https://emj.bmj.com/content/38/12/919 Evaluating the utility of Rapid Response EEG in emergency care - https://emj.bmj.com/content/38/12/923 Early warning scores to assess the probability of critical illness in patients with COVID-19 - https://emj.bmj.com/content/38/12/901 Agreement and predictive value of the Rockwood Clinical Frailty Scale at emergency department triage - https://emj.bmj.com/content/38/12/868 Association of advanced age with intubation-related adverse events in the emergency department: a multicentre prospective observational study - https://emj.bmj.com/content/38/12/874 Improving outcomes for older people in the emergency department: a review of reviews - https://emj.bmj.com/content/38/12/882 Identifying opportunities for health promotion and intervention in the ED - https://emj.bmj.com/content/38/12/927
In Nursing, we are so used to working with frameworks. One of the most important frameworks that nurses or those in medical practice use is the ABCDE framework. The ABCDE tool is used for the identification and prioritization of patient problems. In stable patients, the use of this tool can be done very quickly. The ABCDE is an acronym for Airway, Breathing, Circulation, Disability, and Exposure. //// Email: nursetalksIG@aol.com
Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2021 edition of the Emergency Medicine Journal. A systematic mixed studies review of patient experiences in the ED https://emj.bmj.com/content/early/2021/03/03/emermed-2020-210634 To prescribe or not to prescribe for paediatric sore throat: A retrospective cohort study comparing clinician-led antibiotic prescriptions to FeverPAIN and Centor scoring in a tertiary Paediatric Emergency Department and a national review of practice. https://emj.bmj.com/content/early/2021/04/14/emermed-2020-210786 Early Prediction of Serious Infections in Febrile Infants Incorporating Heart Rate Variability in an Emergency Department: A Pilot Study https://emj.bmj.com/content/early/2021/04/16/emermed-2020-210675 Toddler's Fracture Immobilisation (ToFI) Study - A Randomised Controlled Trial Comparing Immobilisation in Above Knee Plaster of Paris to Controlled Ankle Motion Boots in Undisplaced Paediatric Spiral Tibial Fractures https://emj.bmj.com/content/early/2021/06/21/emermed-2020-210299.long Clinical benefits of prone positioning in the treatment of non-intubated patients with acute hypoxic respiratory failure: A rapid systematic review https://emj.bmj.com/content/early/2021/06/22/emermed-2020-210586.long Prognostic accuracy of emergency department triage tools for adults with suspected COVID-19: The PRIEST observational cohort study https://emj.bmj.com/content/early/2021/06/03/emermed-2020-210783 Implementation of the ‘TAKE STOCK' Hot Debrief Tool in the Emergency Department: A Quality Improvement Project. https://emj.bmj.com/content/early/2021/01/13/emermed-2019-208830.info The Cardiac Arrest Nurse Leadership (CANLEAD) Trial: A simulation based Randomised Controlled Trial implementation of a new cardiac arrest role to facilitate cognitive offload for medical team leaders. https://emj.bmj.com/content/early/2021/01/26/emermed-2019-209
Les talks us through the primary survey in some special circumstances, some kit considerations and some human factors to think about. Top 3 tips 1) Most importantly when you are delivering the primary survey don't get side tracked to non-life threatening issues 2) Expect to repeat the primary survey at least once and probably more times, reassessment is crucial 3) Practice, practice, practice Resources and links Experience in Prehospital Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-analysis https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0141034.t003 Prehospital endotracheal intubation vs extraglottic airway device in blunt trauma https://pubmed.ncbi.nlm.nih.gov/25963681/ The Impact of Prehospital Endotracheal Intubation on Outcome in Moderate to Severe Traumatic Brain Injury https://journals.lww.com/jtrauma/Abstract/2005/05000/The_Impact_of_Prehospital_Endotracheal_Intubation.10.aspx Prehospital intubations and mortality: a level 1 trauma center perspective https://pubmed.ncbi.nlm.nih.gov/19608824/ Difficult Intubation due to Penetrating Trauma from a Crossbow Bolt https://pubmed.ncbi.nlm.nih.gov/32690309/ Management of the Traumatized Airway https://pubmed.ncbi.nlm.nih.gov/26517857/ Resident manual of Trauma to the Face, Head and Neck https://www.entnet.org/content/resident-manual-trauma-face-head-and-neck Systematic review of the anaesthetic management of non-iatrogenic acute adult airway trauma https://academic.oup.com/bja/article/117/suppl_1/i49/1744426 Hypothermia in trauma victims at first arrival of ambulance personnel: an observational study with assessment of risk factors https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402666/ When do trauma patients lose temperature? - a prospective observational study https://pubmed.ncbi.nlm.nih.gov/29315468/ Battlefield Trauma-Induced Hypothermia: Transitioning the Preferred Method of Casualty Rewarming https://www.wemjournal.org/article/S1080-6032(17)30097-2/fulltext#:~:text=Battlefield%20Trauma%2DInduced%20Hypothermia%3A%20Transitioning%20the%20Preferred%20Method%20of%20Casualty%20Rewarming,-Brad%20L.&text=For%20centuries%2C%20cold%20and%20wet,foot%2C%20frostbite%2C%20and%20hypothermia. Predictors of Hypothermia upon Trauma Center Arrival in Severe Trauma Patients Transported to Hospital via EMS https://www.researchgate.net/publication/332214670_Predictors_of_Hypothermia_upon_Trauma_Center_Arrival_in_Severe_Trauma_Patients_Transported_to_Hospital_via_EMS Biography: Les Gordon is an experienced anaesthetist, whose special interest is in difficult airway management, and he instructs on the national Training in Emergency Airway Management course for this. He started Mountain Rescue eleven years ago in the Lake District and has attended about 450 rescues. His special interest is accidental hypothermia, about which he has published several papers, written chapters in two books, given presentations at National and International conferences, and has drawn up and regularly updates Mountain Rescue England & Wales Hypothermia protocols
Les chats us through some interesting aspects of the primary survey Top 3 Points from this podcast: Most importantly when you are delivering the primary survey don't get sidetracked to non-life-threateningissues Make sure you document everything as thoroughly as you can You have to play the hand you have been dealt, in the prehospital environment resources and environment can be limiting, do your best and remember the conditions are not optimal Resources: Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective https://pubmed.ncbi.nlm.nih.gov/22495839/ The Birth of Advanced Trauma Life Support (ATLS) https://pubmed.ncbi.nlm.nih.gov/16764202/ Battlefield Trauma Life Support: Its Use in the Resuscitation Department of 32 Field Hospital Dring the Gulf War https://pubmed.ncbi.nlm.nih.gov/8840795/ ABC to ABC: Redefining the Military Trauma Paradigm https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579588/ About Les: Les Gordon is an experienced anaesthetist, whose special interest is in difficult airway management, and he instructs on the national Training in Emergency Airway Management course for this. He started Mountain Rescue eleven years ago in the Lake District and has attended about 450 rescues. His special interest is accidental hypothermia, about which he has published several papers, written chapters in two books, given presentations at National and International conferences, and has drawn up and regularly updates Mountain Rescue England & Wales Hypothermia protocols
Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2021 edition of the Emergency Medicine Journal. Read the primary survey here: https://emj.bmj.com/content/38/6/407 Emergency medicine electronic health record usability: where to from here? (16 March, 2021) FREE Katie Walker, Tim Dwyer, Heather A Heaton: https://emj.bmj.com/content/38/6/408 Usability of electronic health record systems in UK EDs Editor's Choice (3 March, 2021) Benjamin Michael Bloom, Jason Pott, Stephen Thomas, David Ramon Gaunt, Thomas C Hughes: https://emj.bmj.com/content/38/6/410 Hypochloraemia is associated with 28-day mortality in patients with septic shock: a retrospective analysis of a multicentre prospective registry: https://emj.bmj.com/content/38/6/423 Emergency department attendances during the COVID-19 pandemic: a retrospective analysis of attendances following Irish governmental pandemic measures: https://emj.bmj.com/content/38/6/439 Incidence of emergency calls and out-of-hospital cardiac arrest deaths during the COVID-19 pandemic: findings from a cross-sectional study in a UK ambulance service: https://emj.bmj.com/content/38/6/446 Sex-related differences in opioid administration in the emergency department: a population-based study: https://emj.bmj.com/content/38/6/467
We will start the first episode diving into the deep waters of the emergency medicine, elemental area to nail the MCCQE1. ……. The link to the video of spinal injury management https://www.youtube.com/watch?v=PdkgnRCoci4
Simon Carley, Associate Editor of EMJ, talks through his highlights of the April 2021 edition of the Emergency Medicine Journal. Read the primary survey here: https://emj.bmj.com/content/38/4/249 Environmentally sustainable emergency medicine: https://emj.bmj.com/content/38/4/315 When dispatcher assistance is not saving lives: assessment of process compliance, barriers and outcomes in out-of-hospital cardiac arrest in a metropolitan city in China: https://emj.bmj.com/content/38/4/252 S100B protein level for the detection of clinically significant intracranial haemorrhage in patients with mild traumatic brain injury: a subanalysis of a prospective cohort study: https://emj.bmj.com/content/38/4/285 Effect of tranexamic acid on intracranial haemorrhage and infarction in patients with traumatic brain injury: a pre-planned substudy in a sample of CRASH-3 trial patients: https://emj.bmj.com/content/38/4/270 Synergistic effects of emergency physician empathy and burnout on patient satisfaction: a prospective observational study: https://emj.bmj.com/content/38/4/290 Handheld electronic device use in patient care: the emergency department patient perspective—a cross-sectional survey: https://emj.bmj.com/content/38/4/258 Read the full Aprilissue here: https://emj.bmj.com/content/38/4
Simon Carley, Associate Editor of EMJ, talks through his highlights of the February 2021 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/38/2/87 Post-exertion oxygen saturation as a prognostic factor for adverse outcome in patients attending the emergency department with suspected COVID-19: a substudy of the PRIEST observational cohort study https://emj.bmj.com/content/38/2/88 Diagnostic accuracy of point-of-care lung ultrasound in COVID-19 https://emj.bmj.com/content/38/2/94 Rise and fall of the aerosol box; and what we must learn from the adoption of untested equipment https://emj.bmj.com/content/38/2/109 COVID-19 aerosol box as protection from droplet and aerosol contaminations in healthcare workers performing airway intubation: a randomised cross-over simulation study https://emj.bmj.com/content/38/2/111 Evaluation of a novel approach to recognising community-acquired paediatric sepsis at ED triage by combining an electronic screening algorithm with clinician assessment https://emj.bmj.com/content/38/2/132 Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study https://emj.bmj.com/content/38/2/139 Emergency Medicine Journal COVID-19 monthly top five https://emj.bmj.com/content/38/2/158 Read the full February issue here: https://emj.bmj.com/content/38/2
Traumas are high-intensity situations that require a systematic and thorough approach to avoid loss of life or limb. Find out more about how to do that in this episode! This episode is intended solely for educational purposes and is directed at medical students. This is not meant to replace the judgment of a professional, nor is it meant to substitute the guidance given in ATLS 10th edition.
Simon Carley, Associate Editor of EMJ, talks through his highlights of the November 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/11/657 Details of the papers mentioned in this podcast can be found below: Risk of significant traumatic brain injury in adults with minor head injury taking direct oral anticoagulants: a cohort study and updated meta-analysis - https://emj.bmj.com/content/37/11/666 Head home: a prospective cohort study of a nurse-led paediatric head injury clinical decision tool at a district general hospital - https://emj.bmj.com/content/37/11/680 Identification of very low-risk acute chest pain patients without troponin testing - https://emj.bmj.com/content/37/11/690 National trends in chest pain visits in US emergency departments (2006–2016 - https://emj.bmj.com/content/37/11/696 Community frailty response service: the ED at your front door - https://emj.bmj.com/content/37/11/714 SONO case series: soft tissue infections, abscesses, pyomyositis and necrotising fasciitis - https://emj.bmj.com/content/37/11/722 Read the full November issue here: https://emj.bmj.com/content/37/11
Simon Carley, Associate Editor of EMJ, talks through his highlights of the October 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/10/593 Details of the papers mentioned in this podcast can be found below: Are we preaching to the choir? Where should studies on frequent users of EDs be published? - https://emj.bmj.com/content/37/10/595 Frequent attendances at emergency departments in England - https://emj.bmj.com/content/37/10/597 A data linkage study of suspected seizures in the urgent and emergency care system in the UK - https://emj.bmj.com/content/37/10/605 Perspectives of emergency department attendees on outcomes of resuscitation efforts: origins and impact on cardiopulmonary resuscitation preference - https://emj.bmj.com/content/37/10/611 Integrating and maintaining automated external defibrillators and emergency planning in community sport settings: a qualitative case - study https://emj.bmj.com/content/37/10/617 Insufficient quality of public automated external defibrillator recordings in the greater Paris area, a descriptive study - https://emj.bmj.com/content/37/10/623 Close air support: enhancing emergency care in the COVID-19 pandemic - https://emj.bmj.com/content/37/10/642 Combatting COVID-19: is ultrasound an important piece in the diagnostic puzzle? - https://emj.bmj.com/content/37/10/644 Beirut: a wounded city explodes- https://emj.bmj.com/content/37/10/656 Read the full October issue here - https://emj.bmj.com/content/37/10
In this episode, Dr Hugh Mitenko walks us through a systematic approach to the immediate assessment of a critically ill patient
Simon Carley, Associate Editor of EMJ, talks through his highlights of the August 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/7/395 Details of the papers mentioned in this podcast can be found below: Undertriage of the elderly major trauma patient continues in major trauma centre care: a retrospective cohort review - https://emj.bmj.com/content/37/8/508 I-FiBH trial: intravenous fluids in benign headaches—a randomised, single-blinded clinical trial - https://emj.bmj.com/content/37/8/469 Colles’ type distal radial fractures undergoing manipulation in the ED: a multicentre observational cohort study - https://emj.bmj.com/content/37/8/498 Read the full August issue here - https://emj.bmj.com/content/37/8
Simon Carley, Associate Editor of EMJ, talks through his highlights of the July 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/7/395 Details of the papers mentioned in this podcast can be found below: Updated framework on quality and safety in emergency medicine - https://emj.bmj.com/content/37/7/437 Evaluating the sustained effectiveness of a multimodal intervention aimed at influencing PIVC insertion practices in the emergency department - https://emj.bmj.com/content/37/7/444 Endotracheal intubation with barrier protection - https://emj.bmj.com/content/37/7/398 Aerosol containment box to the rescue: extra protection for the front line - https://emj.bmj.com/content/37/7/400 Accuracy of PE rule-out strategies in pregnancy: secondary analysis of the DiPEP study prospective cohort - https://emj.bmj.com/content/37/7/423 Oral nitroglycerin solution for oesophageal food impaction: a prospective single-arm pilot study - https://emj.bmj.com/content/37/7/434 Use of prehospital emergency medical services according to income of residential area - https://emj.bmj.com/content/37/7/429 Using emergency physicians’ abilities to predict patient admission to decrease admission delay time - https://emj.bmj.com/content/37/7/417 Read the full July issue here - https://emj.bmj.com/content/37/7.
Simon Carley, Associate Editor of EMJ, talks through his highlights of the June 2020 edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/37/6/321 Other links: Suffocating in the eye of the storm: attempting to breathe at the epicentre of New York’s COVID-19 pandemic - https://emj.bmj.com/content/37/6/330 Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED - https://emj.bmj.com/content/37/6/335 Implications for COVID-19 triage from the ICNARC report of 2204 COVID-19 cases managed in UK adult intensive care units - https://emj.bmj.com/content/37/6/332 Early versus delayed emergency department presentation following mild Traumatic Brain Injury and the presence of symptom at 1, 4 and 12 weeks in children - https://emj.bmj.com/content/37/6/338 The CRASH3 study: prehospital TXA for every injured patient? - https://emj.bmj.com/content/37/6/392 Retrospective chart review of minor tibial fractures in preschoolers: immobilisation and complications - https://emj.bmj.com/content/37/6/345 Burns and Scalds Assessment Template: standardising clinical assessment of childhood burns in the emergency department - https://emj.bmj.com/content/37/6/351 Moderate to severe hyperphosphataemia as an independent prognostic factor for 28-day mortality in adult patients with sepsis - https://emj.bmj.com/content/37/6/355 Prognostic accuracy of the quick Sequential Organ Failure Assessment (qSOFA)-lactate criteria for mortality in adults with suspected bacterial infection in the emergency department of a hospital with limited resources - https://emj.bmj.com/content/37/6/363 Evolution of methodology and reporting of emergency medicine quantitative research over a 20-year period - https://emj.bmj.com/content/37/6/324 Academic emergency medicine in the UK - https://emj.bmj.com/content/37/6/322 Whole blood transfusion versus component therapy in adult trauma patients with acute major haemorrhage - https://emj.bmj.com/content/37/6/370 Successful endotracheal intubation following a failed first attempt during aeromedical retrieval - https://emj.bmj.com/content/37/5/314.
A bit later than usual, but here we are again! Simon Carley, Associate Editor of EMJ, talks with Professor Richard Body about the highlights of the May 2020 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/37/5/249 Details of the papers mentioned in this podcast can be found below: SARS: experience from the emergency department, Tan Tock Seng Hospital, Singapore - emj.bmj.com/content/20/6/501 Views and experiences of nurses in providing end-of-life care to patients in an ED context: a qualitative systematic review - emj.bmj.com/content/37/5/265 End of life care in the emergency department - emj.bmj.com/content/37/5/273 That was a game changer: clinical impact of an emergency department-based palliative care communication skills training workshop - emj.bmj.com/content/37/5/262 Inter-rater reliability in a bespoke scoring tool: the Paediatric Observation Priority Score - emj.bmj.com/content/37/5/293 Are referrals to hospital from out-of-hours primary care associated with National Early Warning Scores? - emj.bmj.com/content/37/5/279 Glucose as an additional parameter to National Early Warning Score (NEWS) in prehospital setting enhances identification of patients at risk of death: an observational cohort study - emj.bmj.com/content/37/5/286 Emergency medicine registrar training in Africa: overview of programmes, faculty and sustainability - emj.bmj.com/content/37/5/300 Read the full May issue here - emj.bmj.com/content/37/5
Simon Carley, Associate Editor of EMJ, talks through his highlights of the April 2020 edition of the Emergency Medicine Journal. Our regular monthly round up of the best and the brightest in the April edition of the EMJ. Read the primary survey here - https://emj.bmj.com/content/37/4/177 Impact of emergency care centralisation on mortality and efficiency: a retrospective service evaluation - https://emj.bmj.com/content/37/4/180 Three into one does go - https://emj.bmj.com/content/37/4/178 Emergency department visits during the 4/20 cannabis celebration - https://emj.bmj.com/content/37/4/187 Routine alcohol screening in the ED: unscreened patients have an increased risk for hazardous alcohol use - https://emj.bmj.com/content/37/4/206 Inadvertent tissue adhesive tarsorrhaphy of the eyelid: a review and exploratory trial of removal methods of Histoacryl - https://emj.bmj.com/content/37/4/212 Performance of the MEDS score in predicting mortality among emergency department patients with a suspected infection: a meta-analysis - https://emj.bmj.com/content/37/4/232. Read the full April issue here: - https://emj.bmj.com/content/37/4
Simon Carley, Associate Editor of EMJ, talks through his highlights of the March 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/3/117. Predicting abusive head trauma in children https://emj.bmj.com/content/37/3/118 Validation of the PredAHT-2 prediction tool for abusive head trauma https://emj.bmj.com/content/37/3/119 Association of clinically important traumatic brain injury and Glasgow Coma Scale scores in children with head injury https://emj.bmj.com/content/37/3/127 Biological mechanisms and individual variation in fibrinolysis after major trauma https://emj.bmj.com/content/37/3/135 Prehospital critical care is associated with increased survival in adult trauma patients in Scotland https://emj.bmj.com/content/37/3/141 Cranial burr holes in the emergency department: to drill or not to drill? https://emj.bmj.com/content/37/3/151 Cranial burr holes in the emergency department: to drill or not to drill? https://emj.bmj.com/content/37/3/154 Lessons from a pilot for uncontrolled donation after circulatory death in the ED in the UK https://emj.bmj.com/content/37/3/155 Non-invasive techniques for stimulating urine production in non-toilet trained children: a systematic review https://emj.bmj.com/content/37/3/162 Read the full March issue here - emj.bmj.com/content/37/3
Simon Carley, Associate Editor of EMJ, talks through his highlights of the February 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/2/55. Details of the papers mentioned in this podcast can be found below: ‘Stealth trauma’ in the young and the old: the next challenge for major trauma networks? - https://emj.bmj.com/content/37/2/56 Massive transfusion in The Netherlands - https://emj.bmj.com/content/37/2/65 Blunt chest trauma in the elderly: an expert practice review - https://emj.bmj.com/content/37/2/73 How can pain management in the emergency department be improved? Findings from multiple case study analysis of pain management in three UK emergency departments - https://emj.bmj.com/content/37/2/85 Read the full February issue here - emj.bmj.com/content/37/2
Simon Carley, Associate Editor of EMJ, talks through his highlights of the January 2020 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/37/1 Details of the papers mentioned in this podcast can be found below: Comparison of four decision aids for the early diagnosis of acute coronary syndromes in the emergency department https://emj.bmj.com/content/37/1/8 The incidence of airway haemorrhage in manual versus mechanical cardiopulmonary resuscitation https://emj.bmj.com/content/37/1/14 Epidemiology of adolescent trauma in England: a review of TARN data 2008–2017 - https://emj.bmj.com/content/37/1/25 Blood Glucose Reduction in Patients Treated with Insulin and Dextrose for Hyperkalemia - https://emj.bmj.com/content/37/1/31 No rest for the weary: A cross-sectional study comparing patients sleep in the emergency department to those on the ward https://emj.bmj.com/content/37/1/42 Thromboprophylaxis in Lower Limb Immobilisation after Injury (TiLLI) https://emj.bmj.com/content/37/1/36 Emergency Medicine: let’s feed the good wolf - https://emj.bmj.com/content/37/1/52 Read the full January issue here - https://emj.bmj.com/content/37/1
Simon Carley, Associate Editor of EMJ, talks through his highlights of the October 2019 edition of the Emergency Medicine Journal. Patients don’t have language barriers; the healthcare system does - https://emj.bmj.com/content/36/10/580 Observational study to understand interpreter service use in emergency medicine: why the key may lie outside of the initial provider assessment - Editor's Choice - https://emj.bmj.com/content/36/10/582 Framing of clinical information affects physicians’ diagnostic accuracy - https://emj.bmj.com/content/36/10/589 Impact of the caller’s emotional state and cooperation on out-of-hospital cardiac arrest recognition and dispatcher-assisted cardiopulmonary resuscitation - https://emj.bmj.com/content/36/10/595 Diurnal, weekly and seasonal variations of chest pain in patients transported by emergency medical services - https://emj.bmj.com/content/36/10/601 Pulmonary embolism following complex trauma: UK MTC observational study - https://emj.bmj.com/content/36/10/608 Adapting the Canadian CT head rule age criteria for mild traumatic brain injury - https://emj.bmj.com/content/36/10/617 Read the full October issue here - emj.bmj.com/content/36/10.
Simon Carley, Associate Editor of EMJ, talks through his highlights of the September 2019 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/36/9/517 Details of the papers mentioned in this podcast can be found below: The Panoramic Dental Radiograph for Emergency Physicians - https://emj.bmj.com/content/36/9/565 Exploring the characteristics, acuity and management of adult ED patients at night-time - https://emj.bmj.com/content/36/9/554 Evaluation of the criteria for trauma activation in the paediatric emergency department - https://emj.bmj.com/content/36/9/529 Why are people increasingly attending the emergency department? A study of the French healthcare system - https://emj.bmj.com/content/36/9/548 Location of arrest and effect of prehospital advanced airway management after emergency medical service-witnessed out-of-hospital cardiac arrest: Nationwide observational study - https://emj.bmj.com/content/36/9/541 Phenomenological study exploring ethics in prehospital research from the paramedic’s perspective: experiences from the Paramedic-2 trial in a UK ambulance service - https://emj.bmj.com/content/36/9/535 Process conformance is associated with successful first intubation attempt and lower odds of adverse events in a paediatric emergency setting - https://emj.bmj.com/content/36/9/520 Triaging the triage: reducing waiting time to triage in the emergency department at a tertiary care hospital in New Delhi, India - https://emj.bmj.com/content/36/9/558 Read the full September issue - https://emj.bmj.com/content/36/9
Simon Carley, Associate Editor of EMJ, talks through his highlights of the August 2019 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/36/8/451 Details of the papers mentioned in this podcast can be found below: First responder communication in CBRN environments: FIRCOM-CBRN study - https://emj.bmj.com/content/36/8/456 Impact of emergency physician experience on decision-making in patients with suspected community-acquired pneumonia and undergoing systematic thoracic CT scan - https://emj.bmj.com/content/36/8/485 Meta-analysis of the accuracy of termination of resuscitation rules for out-of-hospital cardiac arrest - https://emj.bmj.com/content/36/8/479 Potential added value of the new emergency care dataset to ED-based public health surveillance in England: an initial concept analysis - https://emj.bmj.com/content/36/8/459 Paracetamol versus other analgesia in adult patients with minor musculoskeletal injuries: a systematic review - https://emj.bmj.com/content/36/8/493 Recognising bias in studies of diagnostic tests part 2: interpreting and verifying the index test - https://emj.bmj.com/content/36/8/501 Man versus machine: comparison of naked-eye estimation and quantified capillary refill - https://emj.bmj.com/content/36/8/465 Read the full August issue - https://emj.bmj.com/content/36/8
Simon Carley, Associate Editor of EMJ, talks through his highlights of the July 2019 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/36/7/385 Details of the papers mentioned in this podcast can be found below: Epidemiology of traumatic injuries presenting to an ED in Central Haiti: a retrospective cohort study - https://emj.bmj.com/content/36/7/389 Prehospital tranexamic acid shortens the interval to administration by half in Major Trauma Networks: a service evaluation - https://emj.bmj.com/content/36/7/395 Confirmed cardiac output on emergency medical services arrival as confounding by indication: an observational study of prehospital airway management in patients with out-of-hospital cardiac arrest - https://emj.bmj.com/content/36/7/410 Driving stroke quality improvement at scale in EDs across a nationwide network of hospitals: strategies and interventions - https://emj.bmj.com/content/36/7/423 The association of paramedic rapid sequence intubation and survival in out-of-hospital stroke - https://emj.bmj.com/content/36/7/416 Reducing repeat paediatric emergency department attendance for non-urgent care: a systematic review of the effectiveness of interventions - https://emj.bmj.com/content/36/7/435 Read the full July issue here - emj.bmj.com/content/36/7.
In this podcast, the first of a series on First Aid Essentials, I discuss how to ascertain the level of responsiveness in a casualty, how to carry out checks for open airways and normal breathing and explain the technique of cardiopulmonary resuscitation (CPR).
Simon Carley, Associate Editor of EMJ, talks through his highlights of the June 2019 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/36/6/324 Details of the papers mentioned in this podcast can be found below: Measurement and improvement of emergency department performance through inspection and rating: an observational study of emergency departments in acute hospitals in England - https://emj.bmj.com/content/early/2019/04/10/emermed-2018-207941 Prehospital determinants of successful resuscitation after traumatic and non-traumatic out-of-hospital cardiac arrest - https://emj.bmj.com/content/early/2019/05/02/emermed-2018-208165 Ageing population has changed the nature of major thoracic injury - https://emj.bmj.com/content/early/2019/04/02/emermed-2018-207943.abstract 'They don't are how much you know until they know how much you care': A qualitative meta-synthesis of patient experience in the Emergency Department - https://emj.bmj.com/content/early/2019/04/19/emermed-2018-208156 Anatomy of resuscitative care unit: expanding the borders of traditional intensive care units - emj.bmj.com/content/early/2019/04/16/emermed-2019-208455.abstract Plight of the pelvic exam - https://emj.bmj.com/content/early/2019/04/16/emermed-2019-208474 Read the full June issue - https://emj.bmj.com/content/36/6
Simon Carley, Associate Editor of EMJ, talks through his highlights of the May 2019 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/36/5/257 Details of the papers mentioned in this podcast can be found below: Could this be Measles? - https://emj.bmj.com/content/36/5/310 Randomised controlled trial of simulation-based education for mechanical cardiopulmonary resuscitation training - https://emj.bmj.com/content/36/5/266 Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians - emj.bmj.com/content/36/5/273 Immune checkpoint blockade toxicity among patients with cancer presenting to the emergency department - emj.bmj.com/content/36/5/306 Major incident triage and the evaluation of the Triage Sort as a secondary triage method - https://emj.bmj.com/content/36/5/281 Distributions of the National Early Warning Score (NEWS) across a healthcare system following a large-scale roll-out - https://emj.bmj.com/content/36/5/287 A mixed methods study of the impact of consultant overnight working in an English Emergency Department - https://emj.bmj.com/content/36/5/298 Read the full May issue here - emj.bmj.com/content/36/5.
The MARCH Primary Survey is a great algorithm for medics to use when treating and assessing trauma patients. Whilst originally developed for use on the battlefield, MARCH is just as relevant for first responders in a civilian environment. To learn more, you can visit our learning center at https://tacmedaustralia.com.au/blogs/tacmed You can also catch on social media at: - https://www.facebook.com/TacmedAustralia/ - https://www.instagram.com/tacmedaustralia/
Simon Carley, Associate Editor of EMJ, talks through his highlights of the February 2019 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/36/2/63 Details of the papers mentioned in this podcast can be found below: A simple clinical assessment is superior to systematic triage in prediction of mortality in the emergency department - emj.bmj.com/content/36/2/66 A systematic review examining the impact of redirecting low-acuity patients seeking emergency department care: is the juice worth the squeeze? - emj.bmj.com/content/36/2/97 From ED overcrowding to jail overcrowding: a cautionary tale of a Serial Inebriate Programme (SIP) - emj.bmj.com/content/36/2/92 UK’s initial operational response and specialist operational response to CBRN and HazMat incidents: a primer on decontamination protocols for healthcare professionals - emj.bmj.com/content/36/2/117 Implementation of tranexamic acid for bleeding trauma patients: a longitudinal and cross-sectional study - emj.bmj.com/content/36/2/78 Emergency medical services oxygen equipment: a fomite for transmission of MRSA? - emj.bmj.com/content/36/2/89 Factors influencing variation in investigations after a negative CT brain scan in suspected subarachnoid haemorrhage: a qualitative study- emj.bmj.com/content/36/2/72 Prolonged length of stay in the emergency department and increased risk of hospital mortality in patients with sepsis requiring ICU admission - emj.bmj.com/content/36/2/82 Approach to syncope in the emergency department - emj.bmj.com/content/36/2/108 Read the full February issue here - emj.bmj.com/content/36/2.
Simon Carley, Associate Editor of EMJ, talks through the highlights of the January 2019 edition of the Emergency Medicine Journal, this month, chosen by Editor-in-Chief Ellen Weber. Read the primary survey here: emj.bmj.com/content/36/1/1. Details of the papers mentioned in this podcast can be found below: The view from here: on the other side of the curtain - emj.bmj.com/content/36/1/52 Accuracy of NEXUS II head injury decision rule in children: a prospective PREDICT cohort study - emj.bmj.com/content/36/1/4 Side effects of decision rules, or the law of unintended consequences - emj.bmj.com/content/36/1/2 Analgesia in the emergency department: why is it not administered? - emj.bmj.com/content/36/1/12 Urgent care axis for the older adult: where is best to target interventions? - emj.bmj.com/content/36/1/22 Exploring parents’ reasons for attending the emergency department for children with minor illnesses: a mixed methods systematic review - emj.bmj.com/content/36/1/39 Read the full January issue here: emj.bmj.com/content/36/1
This podcast explains you how to pull together the Primary Survey, the Secondary Survey and the Respiratory Assessment all into one, integrated, coordinated, and sequentially organized whole. If you're not ALREADY familiar with these tools, make sure to watch them on our channel so that you are familiar with them (see links below). This episode is on YouTube as well, here: https://youtu.be/YtmIlQ-fIH8 and the text call-outs you see during the video there are the things we would expect an experienced paramedic student already to have memorized. If you're a paramedic (or nursing or medical) student we think you'll find this very helpful because it will show you how a veteran medic organizes their thinking. If you're already an experienced clinician you'll probably find this a bit overly prescriptive, but that's ok. You have to walk before you can run. This is the 'walking' stage. Once you've become experienced you'll be a lot quicker at this than what I'm demonstrating in the video. As a student, as someone new to this, who still doesn't know what to ask, this episode will give you a very clear guide on how to direct your assessment of the extremely common presentation of a short of breath patient. Enjoy, and let us know what you think! Some background information ... Primary Survey: https://youtu.be/-nYrQSzOZrY Secondary Survey: https://youtu.be/vq5q-qqZrm4 Respiratory Assessment: 1. https://youtu.be/s238K8JCjdA 2. https://youtu.be/lT-fr3G_FHI Head to Toe Exam: https://youtu.be/HMCccIu8ufA
Simon Carley, Associate Editor of EMJ, talks through the highlights of the December 2018 edition of the Emergency Medicine Journal, this month, chosen by Associate Editor Mary Dawood. Read the primary survey here: emj.bmj.com/content/35/12/719 Details of the papers mentioned in this podcast can be found below: Evaluation of the provision of helicopter emergency medical services in Europe - emj.bmj.com/content/35/12/720 Heart failure and palliative care in the emergency department - emj.bmj.com/content/35/12/726 Performing sit down medicine in a stand-up place: is it time for palliative care in the emergency department? - emj.bmj.com/content/35/12/730 Predrawn prehospital medications are microbiologically safe for up to 48 hours - emj.bmj.com/content/35/12/743 Systematic review and meta-analysis of pre-hospital diagnostic accuracy studies - emj.bmj.com/content/35/12/757 Read the full December 2018 issue of EMJ here: emj.bmj.com/content/35/12
Simon Carley, Associate Editor of EMJ, talks through the highlights of the November 2018 edition of the Emergency Medicine Journal, this month chosen by Associate Editor Professor Rick Body. Read the primary survey here: emj.bmj.com/content/35/11/651 Details of the papers mentioned in this podcast can be found below: Managing accidental hypothermia: a UK-wide survey of prehospital and search and rescue providers - emj.bmj.com/content/35/11/652 Managing accidental hypothermia: progress but still some way to go - emj.bmj.com/content/35/11/657 Characteristics and outcomes of accidental hypothermia in Japan: the J-Point registry - emj.bmj.com/content/35/11/659 Indoor accidental hypothermia in the elderly: an emerging lethal entity in the 21st century - emj.bmj.com/content/35/11/667 Paediatric traumatic cardiac arrest: the development of an algorithm to guide recognition, management and decisions to terminate resuscitation - emj.bmj.com/content/35/11/669 Defining significant childhood illness and injury in the Emergency Department: a consensus of UK and Ireland expert opinion - emj.bmj.com/content/35/11/685 Understanding better how emergency doctors work. Analysis of distribution of time and activities of emergency doctors: a systematic review and critical appraisal of time and motion studies - emj.bmj.com/content/35/11/692 Read the full November 2018 issue of EMJ here: emj.bmj.com/content/35/11
In this episode we are going to be focusing on the Primary Survey that Paramedics do as they first approach a clinical case. Usually this is the first few critical minutes as we are working out our priorities in how to manage the patient and the scene.
Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2018 edition of the Emergency Medicine Journal. Read the primary survey here: emj.bmj.com/content/35/8/461 Details of the papers mentioned in this podcast can be found below: Fluid therapy in the emergency department: an expert practice review - emj.bmj.com/content/35/8/511 Intravenous cefazolin plus oral probenecid versus oral cephalexin for the treatment of skin and soft tissue infections: a double-blind, non-inferiority, randomised controlled trial - emj.bmj.com/content/35/8/492 Efficacy of scheduled return visits for emergency department patients with non-specific abdominal pain - emj.bmj.com/content/35/8/499 Application of outpatient cardiac testing among emergency department patients with syncope - emj.bmj.com/content/35/8/486 Diagnostic yield of an ambulatory patch monitor in patients with unexplained syncope after initial evaluation in the emergency department: the PATCH-ED study - emj.bmj.com/content/35/8/477 Prehospital neurological deterioration in stroke - emj.bmj.com/content/35/8/507 Development and validation of an admission prediction tool for emergency departments in the Netherlands - emj.bmj.com/content/35/8/464 Read the full August 2018 issue of EMJ here: https://emj.bmj.com/content/35/8
Following on from Part 1, I use the same scenario, to break down what I was looking at, and linking it directly to a Primary Survey.
Simon Carley, Associate Editor of EMJ, talks through the highlights of the July 2018 edition of the Emergency Medicine Journal, this month, chosen by Deputy Editor, Ian K Maconochie. Read the primary survey here: emj.bmj.com/content/35/7/403 Details of the papers mentioned in this podcast can be found below: Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey - emj.bmj.com/content/35/7/406 Effects of hallway/corridor and companions on clinical encounters: a possible explanation - emj.bmj.com/content/35/7/404 Essential medicines for emergency care in Africa - emj.bmj.com/content/35/7/412 End-tidal carbon dioxide output in manual cardiopulmonary resuscitation versus active compression-decompression device during prehospital quality controlled resuscitation: a case series study - emj.bmj.com/content/35/7/428 Risk stratifying chest pain patients in the emergency department using HEART, GRACE and TIMI scores, with a single contemporary troponin result, to predict major adverse cardiac events - emj.bmj.com/content/35/7/420 Read the full July issue of EMJ here: emj.bmj.com/content/35/7
Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2018 edition of the Emergency Medicine Journal, this month, chosen by Associate Editor, Edward Carlton. Read the primary survey here: emj.bmj.com/content/35/6/341 Details of the papers mentioned in this podcast can be found below: Editor's choice: Comparison of qSOFA with current emergency department tools for screening of patients with sepsis for critical illness - emj.bmj.com/content/35/6/350 Editor's choice: qSOFA, SIRS and NEWS for predicting inhospital mortality and ICU admission in emergency admissions treated as sepsis - emj.bmj.com/content/35/6/345 Editor's choice: Sepsis-3 and simple rules - emj.bmj.com/content/35/6/343 MRSA nares swab is a more accurate predictor of MRSA wound infection compared with clinical risk factors in emergency department patients with skin and soft tissue infections - emj.bmj.com/content/35/6/357 Outpatient management of children at low risk for bacterial meningitis - emj.bmj.com/content/35/6/361 Gender and survival from out-of-hospital cardiac arrest: a New Zealand registry study - emj.bmj.com/content/35/6/367 Inter-rater and intrarater reliability of the South African Triage Scale in low-resource settings of Haiti and Afghanistan - emj.bmj.com/content/35/6/379 Validity of the Japan Acuity and Triage Scale in adults: a cohort study - emj.bmj.com/content/35/6/384 Marauding terrorist attack (MTA): prehospital considerations -emj.bmj.com/content/35/6/389 Read the full June issue of EMJ here: emj.bmj.com/content/35/6
Simon Carley, Associate Editor of EMJ, talks through the highlights of the May 2018 edition of the Emergency Medicine Journal, this month, chosen by our Associate Editor, Caroline Leech. Read the primary survey here: emj.bmj.com/content/35/5/279 Details of the papers mentioned in this podcast can be found below: Editor's choice: Lack of efficacy in a randomised trial of a brief intervention to reduce drug use and increase drug treatment services utilisation among adult emergency department patients over a 12-month period - emj.bmj.com/content/35/5/282 Absence of a quick fix does not mean ‘do nothing:’ time to address drug use in the ED - emj.bmj.com/content/35/5/280 New decision formulas for predicting endotracheal tube depth in children: analysis of neck CT images - emj.bmj.com/content/35/5/303 What is positionality and should it be expressed in quantitative studies? - emj.bmj.com/content/35/5/323 Modelling attending physician productivity in the emergency department: a multicentre study - emj.bmj.com/content/35/5/317 Impact of emergency department surge and end of shift on patient workup and treatment prior to referral to internal medicine: a health records review - emj.bmj.com/content/35/5/309 Comparison of epidemiology, treatments and outcomes of ST segment elevation myocardial infarction between young and elderly patients - emj.bmj.com/content/35/5/289 Image challenge: acute chest pain after tooth extraction - emj.bmj.com/content/35/5/332 Read the full May issue of EMJ here: https://emj.bmj.com/content/35/5
Simon Carley, Associate Editor of EMJ, talks through the highlights of the February 2018 edition of the Emergency Medicine Journal, this month, picked by Simon himself. Read the primary survey here: http://emj.bmj.com/content/35/2/73 Details of the papers mentioned in this podcast can be found below: Understanding cardiac troponin part 1: avoiding troponinitis - http://emj.bmj.com/content/35/2/120 Calculating the proportion of avoidable attendances at UK emergency departments: analysis of the Royal College of Emergency Medicine’s Sentinel Site Survey data - http://emj.bmj.com/content/35/2/114 Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards - http://emj.bmj.com/content/35/2/108 Pre-emptive ice cube cryotherapy for reducing pain from local anaesthetic injections for simple lacerations: a randomised controlled trial - http://emj.bmj.com/content/35/2/103 Use of the low-frequency/high-frequency ratio of heart rate variability to predict short-term deterioration in emergency department patients with sepsis - http://emj.bmj.com/content/35/2/96 Utility of prehospital electrocardiogram characteristics as prognostic markers in out-of-hospital pulseless electrical activity arrests - http://emj.bmj.com/content/35/2/89 A traumatic tale of two cities: does EMS level of care and transportation model affect survival in patients with trauma at level 1 trauma centres in two neighbouring Canadian provinces? - http://emj.bmj.com/content/35/2/83 Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden? - http://emj.bmj.com/content/35/2/79 Alcohol identification and intervention in English emergency departments - http://emj.bmj.com/content/35/2/75 Taking control of alcohol-related emergency department visits - http://emj.bmj.com/content/35/2/74 Read the full February issue of EMJ here: emj.bmj.com/content/35/2
Simon Carley, Associate Editor of EMJ, talks through the highlights of the January 2018 edition of the Emergency Medicine Journal, this month, picked by Ellen Webber (Editor-in-Chief, University of California, San Francisco, USA). Read the primary survey here: http://emj.bmj.com/content/35/1/1. Details of the papers mentioned in this podcast can be found below: Impact of Physician Navigators on productivity indicators in the ED - http://emj.bmj.com/content/35/1/5 Tackling the demand for emergency department services: there are no silver bullets - http://emj.bmj.com/content/35/1/3 Emergency consultants value medical scribes and most prefer to work with them, a few would rather not: a qualitative Australian study - http://emj.bmj.com/content/35/1/12 Can an observational pain assessment tool improve time to analgesia for cognitively impaired older persons? A cluster randomised controlled trial - http://emj.bmj.com/content/35/1/33 Failure of falls risk screening tools to predict outcome: a prospective cohort study - http://emj.bmj.com/content/35/1/28 PREDICT prioritisation study: establishing the research priorities of paediatric emergency medicine physicians in Australia and New Zealand - http://emj.bmj.com/content/35/1/39 Profile and outcomes of critically ill children in a lower middle-income country - http://emj.bmj.com/content/35/1/52 Characteristics of youth agreeing to electronic sexually transmitted infection risk assessment in the emergency department - http://emj.bmj.com/content/35/1/46 Waveform capnography: an alternative to physician gestalt in determining optimal intubating conditions after administration of paralytic agents - http://emj.bmj.com/content/35/1/62 Read the full January issue of EMJ here: http://emj.bmj.com/content/35/1
Simon Carley, Associate Editor of EMJ, talks through the highlights of the October 2017 edition of the Emergency Medicine Journal, this month, picked by Richard Body (Emergency Department, Manchester Royal Infirmary, Manchester, UK). Read the primary survey: http://emj.bmj.com/content/34/10/633. Details of the papers mentioned in this podcast can be found below: The use of whole-body computed tomography in major trauma: variations in practice in UK trauma hospitals - http://emj.bmj.com/content/34/10/647 Non-traumatic incidental findings in patients undergoing whole-body computed tomography at initial emergency admission - emj.bmj.com/content/34/10/643 Whole body computed tomography for trauma: friend or foe? - http://emj.bmj.com/content/34/10/635 Extreme event medicine: considerations for the organisation of out-of-hospital care during obstacle, adventure and endurance competitions http://emj.bmj.com/content/34/10/680 Ibuprofen versus placebo effect on acute kidney injury in ultramarathons: a randomised controlled trial - http://emj.bmj.com/content/34/10/637 Gender, race and the presentation of acute coronary syndrome and serious cardiopulmonary diagnoses in ED patients with chest pain - http://emj.bmj.com/content/34/10/653 Primary care services co-located with Emergency Departments across a UK region: early views on their development - http://emj.bmj.com/content/34/10/672 Read the full October issue of EMJ: http://emj.bmj.com/content/34/10.
Have you ever been the first person on the scene of an accident/disaster? How did you respond? Join Dr. Oli this week as we tackle a big subject: rapid primary survey and resuscitation! We talk about what to do, how to do it, and why we do it--as well as important points which are likely to be tested in major qualifying exams. Enjoying the podcast? Sponsor us! Visit https://patron.podbean.com/medonthego and become a regular patron--perks include thank you emails, mentions in the podcast, and other exclusive material. Don't miss out! As usual, notes can be found on our blog: www.medongo.blogspot.ca. Contributions and suggestions for future episodes are welcome!
Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2017 edition of the Emergency Medicine Journal. Read the primary survey here: emj.bmj.com/content/34/8/491 Details of the papers mentioned on this podcast can be found below: Clinical relevance of pharmacist intervention in an emergency department - emj.bmj.com/content/34/8/495 Developing a decision rule to optimise clinical pharmacist resources for medication reconciliation in the emergency department - emj.bmj.com/content/34/8/502 Emergency medicine pharmacists on an international scale - emj.bmj.com/content/34/8/492 ‘Major trauma’: now two separate diseases? - emj.bmj.com/content/34/8/494 Traumatic brain injuries in older adults—6 years of data for one UK trauma centre: retrospective analysis of prospectively collected data - emj.bmj.com/content/34/8/509 Validating the Manchester Acute Coronary Syndromes (MACS) and Troponin-only Manchester Acute Coronary Syndromes (T-MACS) rules for the prediction of acute myocardial infarction in patients presenting to the emergency department with chest pain - emj.bmj.com/content/34/8/517 A practical approach to Events Medicine provision - emj.bmj.com/content/34/8/538 BET 1: Lidocaine with propofol to reduce pain on injection - http://emj.bmj.com/content/34/8/551.2 BET 2: Poor evidence on whether teaching cognitive debiasing, or cognitive forcing strategies, lead to a reduction in errors attributable to cognition in emergency medicine students or doctors - http://emj.bmj.com/content/34/8/553 Read the full August issue here: emj.bmj.com/content/34/8
Simon Carley, Associate Editor of EMJ, talks through the highlights of the July 2017 edition of the Emergency Medicine Journal. Read the primary survey here: http://emj.bmj.com/content/34/7/427 Details of the papers mentioned on this podcast can be found below: The key to resilient individuals is to build resilient and adaptive systems - http://emj.bmj.com/content/34/7/428 Emergency medicine: what keeps me, what might lose me? A narrative study of consultant views in Wales - http://emj.bmj.com/content/34/7/436 The psychological health and well-being of emergency medicine consultants in the UK - http://emj.bmj.com/content/34/7/430 Satisfaction, burnout and intention to stay of emergency nurses in Shanghai - http://emj.bmj.com/content/34/7/448 Occupational stress in the ED: a systematic literature review - http://emj.bmj.com/content/34/7/441 Can a partnership between general practitioners and ambulance services reduce conveyance to emergency care? - http://emj.bmj.com/content/34/7/459 Relationship between oxygen concentration and temperature in an exothermic warming device - http://emj.bmj.com/content/34/7/472 The barriers associated with emergency medical service use for acute coronary syndrome: the awareness and influence of an Australian public mass media campaign - http://emj.bmj.com/content/34/7/466 Read the full July issue here: http://emj.bmj.com/content/34/7?current-issue=y
Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2017 edition of the Emergency Medicine Journal, starting with T-MACS, ROC curves, the demand for mental health care in emergency medicine, pain scales for children and more. Read the primary survey here: http://emj.bmj.com/content/34/6/347 Details of the papers mentioned on this podcast can be found below: Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision aid: single biomarker re-derivation and external validation in three cohorts - http://emj.bmj.com/content/34/6/349 What is an ROC curve? - http://emj.bmj.com/content/34/6/357 A systematic review of management strategies for children’s mental health care in the emergency department: update on evidence and recommendations for clinical practice and research - http://emj.bmj.com/content/34/6/376 The Royal College of Emergency Medicine composite pain scale for children: level of inter-rater agreement - http://emj.bmj.com/content/34/6/360 Emergency department syndromic surveillance to investigate the health impact and factors associated with alcohol intoxication in Reunion Island - http://emj.bmj.com/content/34/6/386 Violence-related ambulance call-outs in the North West of England: a cross-sectional analysis of nature, extent and relationships to temporal, celebratory and sporting events - http://emj.bmj.com/content/34/6/364 Read the full June issue here: http://emj.bmj.com/content/34/6?current-issue=y
Simon Carley, Associate Editor of EMJ, talks through the highlights of the May 2017 edition of the Emergency Medicine Journal, starting with pregnancy problems: the management of severely injured or ill pregnant patients. Read the primary survey here: http://emj.bmj.com/content/34/5/271. Details of the papers mentioned on this podcast can be found below: Management of pregnancy and obstetric complications in prehospital trauma care: faculty of prehospital care consensus guidelines - http://emj.bmj.com/content/34/5/318; Management of pregnancy and obstetric complications in prehospital trauma care: prehospital resuscitative hysterotomy/perimortem caesarean section - http://emj.bmj.com/content/34/5/326; Does end-tidal capnography confirm tracheal intubation in fresh-frozen cadavers? - http://emj.bmj.com/content/34/5/315; Remifentanil for procedural sedation: a systematic review of the literature - http://emj.bmj.com/content/34/5/294; The role of reduced heart rate volatility in predicting disposition from the emergency department - http://emj.bmj.com/content/34/5/289; Extracorporeal cardiopulmonary resuscitation probably good, but adoption should not be too fast and furious! - http://emj.bmj.com/content/34/5/275; Emergency extracorporeal life support and ongoing resuscitation: a retrospective comparison for refractory out-of-hospital cardiac arrest - http://emj.bmj.com/content/34/5/277; Progressive prediction of hospitalisation in the emergency department: uncovering hidden patterns to improve patient flow - http://emj.bmj.com/content/34/5/308.
Simon Carley, Associate Editor of EMJ, talks through the highlights of the April edition of the Emergency Medicine Journal, with a special focus on organ donation. Read the primary survey here: http://emj.bmj.com/content/34/4/201. Details of the papers mentioned on this podcast can be found below. Critical care in the Emergency Department: organ donation: http://emj.bmj.com/content/34/4/256. Withdrawal of life-sustaining therapy: the case for delay: http://emj.bmj.com/content/34/4/203. A randomised experiment comparing low-cost ultrasound gel alternative with commercial gel: http://emj.bmj.com/content/34/4/227. Validity of the Manchester Triage System in patients with sepsis presenting at the ED: a first assessment: http://emj.bmj.com/content/34/4/212. Mid-arm circumference can be used to estimate weight of adult and adolescent patients: http://emj.bmj.com/content/34/4/231.
Simon Carley discusses the March's issue of EMJ. The highlights include cricoid pressure, pain, measuring weight, ambulances and the h-index. The discussed papers are as follows: Put pressure on the cricoid pressure - http://emj.bmj.com/content/34/3/128 Effect of cricoid pressure on laryngeal view during prehospital tracheal intubation: a propensity-based analysis - http://emj.bmj.com/content/34/3/132 What is propensity score modelling? - http://emj.bmj.com/content/34/3/129 An ED paradox: patients who arrive by ambulance and then leave without consulting an ED provider - http://emj.bmj.com/content/34/3/151 An assessment of the accuracy of a novel weight estimation device for children - http://emj.bmj.com/content/34/3/163 Analysis of h-index and other bibliometric markers of productivity and repercussion of a selected sample of worldwide emergency medicine researchers - http://emj.bmj.com/content/34/3/175 A comparison of pain assessment by physicians, parents and children in an outpatient setting http://emj.bmj.com/content/34/3/138 Read the full issue here: http://emj.bmj.com/content/34/3 For the highlights of the issue click here: http://emj.bmj.com/content/34/3/127.
Simon Carley talks through the highlights of the February 2017's EMJ. Among these are clinical decision making and the transition from novice to expert. Here are links to the discussed papers: Have we forgotten to teach how to think? - http://emj.bmj.com/content/34/2/68; The transition to clinical expert: enhanced decision making for children aged less than 5 years attending the paediatric ED with acute respiratory conditions - http://emj.bmj.com/content/34/2/76; Clinical reasoning of junior doctors in emergency medicine: a grounded theory study - http://emj.bmj.com/content/34/2/70; Role of physician perception of patient smile on pretest probability assessment for acute pulmonary embolism - http://emj.bmj.com/content/34/2/82; Clinical metrics in emergency medicine: the shock index and the probability of hospital admission and inpatient mortality - http://emj.bmj.com/content/34/2/89; Dietary sugars versus glucose tablets for first-aid treatment of symptomatic hypoglycaemia in awake patients with diabetes: a systematic review and meta-analysis - http://emj.bmj.com/content/34/2/100. Read the full issue here: http://emj.bmj.com/content/34/2#Primarysurvey. For the highlights of the issue click here: http://emj.bmj.com/content/34/2/67.
Simon Carley is on his own once more, talking through the highlights of the November 2016's EMJ. Here are links to the discussed highlights: Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department - http://emj.bmj.com/content/33/11/756.full Related editorial: Paediatric early warning systems (PEWS) in the ED - http://emj.bmj.com/content/33/11/754.extract Early warning scores: a health warning - http://emj.bmj.com/content/33/11/812.abstract Engaging the public in healthcare decision-making: results from a Citizens’ Jury on emergency care services - http://emj.bmj.com/content/33/11/782.full ED healthcare professionals and their notions of productivity - http://emj.bmj.com/content/33/11/789.abstract Soluble urokinase plasminogen activator receptor (suPAR) in acute care: a strong marker of disease presence and severity, readmission and mortality. A retrospective cohort study - http://emj.bmj.com/content/33/11/769.full Burden of emergency conditions and emergency care usage: new estimates from 40 countries - http://emj.bmj.com/content/33/11/794.abstract Best Bets: BET 1: Tranexamic acid in epistaxis: who bloody nose? - http://emj.bmj.com/content/33/11/823.2.full BET 2: Usefulness of IV lidocaine in the treatment of renal colic - http://emj.bmj.com/content/33/11/825.full Discussed blog articles: Nuances of Neurogenic Shock - http://blogs.bmj.com/emj/2016/11/04/nuances-of-neurogenic-shock/ The weekend effect. Part 1 - http://blogs.bmj.com/emj/2016/10/28/645/ The weekend effect: Part 2 – a traumatic time! - http://blogs.bmj.com/emj/2016/10/29/the-weekend-effect-part-2-a-traumatic-time/
Simon Carley is on his own this time, talking through the highlights of the October 2016's EMJ. Among the highlights are the low number of women presenting at emergency medicine conferences, PERC rule, triage tools and paramedics' experiences of end-of-life care decisions. The discussed papers: "Are there too few women presenting at emergency medicine conferences?", "A retrospective analysis of the combined use of PERC rule and Wells score to exclude pulmonary embolism in the Emergency Department", "One-two-triage: validation and reliability of a novel triage system for low-resource settings", "Paramedics' experiences of end-of-life care decision making with regard to nursing home residents: an exploration of influential issues and factors". Access the full issue here: http://emj.bmj.com/content/33/10.toc.
Simon Carley and and Rick Body, EMJ associate editors, talk you through the highlights of the September 2016's EMJ. Here are the links to the discussed papers: Regional scale-up of an Emergency Triage Assessment and Treatment (ETAT) training programme from a referral hospital to primary care health centres in Guatemala - http://emj.bmj.com/content/33/9/611.abstract What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception? - http://emj.bmj.com/content/33/9/632.abstract Point-of-care lung ultrasound in young children with respiratory tract infections and wheeze - http://emj.bmj.com/content/33/9/603.abstract Perceived clinician–patient communication in the emergency department and subsequent post-traumatic stress symptoms in patients evaluated for acute coronary syndrome - http://emj.bmj.com/content/33/9/626.full Man or machine? An experimental study of prehospital emergency amputation - http://emj.bmj.com/content/33/9/641.full External validation of the emergency department assessment of chest pain score accelerated diagnostic pathway (EDACS-ADP) - http://emj.bmj.com/content/33/9/618.abstract For all the content from the issue, see: emj.bmj.com/content/33/9.toc
Simon Carley and and Richard Body, EMJ associate editors, talks you through the highlights of the August 2016's EMJ, including a retrospective cohort study which puts nurses vs. computer, by evaluating the accuracy of a Japanese triage algorithm (JTAS) and the debate around paediatric procedural sedation in the Emergency Department in the UK. This podcast also answers the question: how likely are doctors to be sued, based on their empathy with patients. For all the content from the issue, see: http://emj.bmj.com/content/33/8.toc
In this podcast, Cliff Reid, Karel Habig, and Geoff Healy discuss how to do a prehospital primary survey Reference: Ware S, Reid C, Burns BJ, Habig K. Helicopter emergency medical service registrars do not comprehensively document primary surveys. European Journal … Continue reading →
In this podcast Simon Carley discusses the highlights from June's issue with Mary Dawood, a consultant nurse in emergency medicine at Imperial College London.
In this podcast Simon Carley discusses the highlights from May's issue of EMJ.
In this podcast Simon Carley and Ellen Weber discuss the highlights from April's issue of EMJ focused on error.
Simon Carley and Rick Body, EMJ associate editors, talk you through the highlights of March's EMJ. For all the content from the issue, see: emj.bmj.com/content/33/3.toc#Primarysurvey
Simon Carley and Rick Body, EMJ associate editors, talk you through the highlights of February's EMJ. For all the content from the issue, see: http://emj.bmj.com/content/33/2.toc
Simon Carley, EMJ associate editor, talks you through the highlights of February's EMJ. For all the content from the issue, see: http://emj.bmj.com/content/32/2.toc
Simon Carley, EMJ associate editor, talks you through the highlights of January's EMJ, including pulmonary embolism in pregnancy and the post partum period, the causes of suffering in the ED, and how to diagnose a patient by their facial expressions. For all the content from the issue, see: http://emj.bmj.com/content/32/1.toc Listen to a podcast on diagnosis by face: http://goo.gl/0ackZw Listen to a podcast on suffering in the ED: http://goo.gl/JhGa7P
Simon Carley, EMJ associate editor, talks you through the highlights of December's EMJ, including crowding in the emergency department, sepsis treatment and capillary refill. For all the content from the issue, see: http://emj.bmj.com/content/31/12.toc
Comparing Multidimensional Poverty and Consumption Poverty based on Primary Survey in India.
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