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A new survey has found that less than one third of end-of-life patients in Irish emergency departments have their own room. This is only one of the shortcomings found in end-of-life care, explored in two papers to start this episode. Following on from that is a comparison of video and direct laryngosocopy for intubation outcomes. There's also a "Best Evidence" review of the use of nasal clips for stopping nosebleeds, an approach which appears likely to offer advantages over the hands or inventive tongue-depressor contraptions. The finish up this month's episode, there's a return to a topic previously visited one year ago - the RCEM guidelines on cannabinoid hyperemesis syndrome. A study from Wales follows up on the adherence to this guidance. Read the highlights: May 2025 Primary Survey Dying matters in the emergency department Emergency clinician perceptions of end-of-life care in Irish emergency departments: a cross-sectional survey Video laryngoscopy may improve the intubation outcomes in critically ill patients: a systematic review and meta-analysis of randomised controlled trials Use of nasal clips as first aid for anterior epistaxis Awareness and management of cannabinoid hyperemesis syndrome among staff in emergency departments in Wales The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Semior Associate Editor and Social Media Editor, Royal Derby Hospital, 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 Apple (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
Welcome back to April's Papers of the Month! First up this month we have a think about posterior circulatory strokes, which can mimic benign vertigo, and can be really tricky to differentiate between a completely benign issue or a stroke that is really important to pick up. Clearly imaging everyone is one option but completely impractical when you consider the gold standard of MRI. So having a bedside tests to rule in or out the diagnosis of stroke would be a huge help. Our first paper looks at the use of three bedside scoring systems; HINTS, TriAGe+ and ABCD2 scores in ED for patients presenting with possible posterior circulatory strokes. How accurate are they and can we reliably incorporate into our practice? Next up is traumatic cardiac arrest. This has obviously got a very high mortality rate. One of the interventions that might improve mortality (for some mechanisms and patients) is a resuscitative thoracotomy, however this is a really significant intervention and we want to ensure we are targeting it at the patients that may benefit. A great paper has just been published from London Air Ambulance which might just help us to identify those patients who would benefit with more certainty, along with those where futility has already been reached. Finally we take a look at acute kidney injury (AKI) and its association contrasted scans. Contrast induced nephropathy (CIN) has historically been a concern, particularly for patients with chronic kidney disease, with contrast causing direct injury and limited blood flow. But recent studies have questioned the actual risk of CIN & there's been a more recent RCEM statement on the topic, but we thought this might be a nice opportunity to refresh and look at a recent paper on the topic. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob
In this episode we cover:Patients recording consultationsRecent changes to the UK death certification processRCEM's Green ED initiative and a case of acute pancreatitis.In our paediatric section we discuss the RCEM safety alert on handlebar injuries and learning from paediatric critical care cases- stabilisation of the sick child, double checking drug doses and burns.Finally we introduce part 1 of our new mini-series on quality improvement methodology "Quality Quest" brought to you by our colleague and QI expert Dr Sarah Noble.Hope you enjoy the show and as ever do let us know your thoughts about the podcast.
In this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Simon Carley share their insights from recent conferences, including Gateshead's RCEM scientific conference, Tactical Trauma 24 in Sweden, and the Premier Conference. They explore 'Goldilocks moments' for executing life-saving procedures in critical care, emphasizing optimal timing for interventions like thoracotomies. The episode also discusses innovative training methods like shadowboxing to enhance decision-making in high-stress medical scenarios. In addition, they review a significant trial on smoking cessation in emergency departments, highlighting its potential role in broader public health initiatives, including sexual health and HIV screening. Discussions also cover various pain management strategies, such as the use of intranasal vs. intravenous Ketorolac for renal colic. The hosts critique the traditional peer review process in medical research and advocate for open peer review to support equitable and accessible scientific publishing. 00:00 Introduction and Catching Up 02:07 The Goldilocks Moment in Critical Care 05:25 Training and Decision-Making in Emergency Procedures 07:23 Smoking Cessation in Emergency Departments 10:07 Challenges in Implementing Preventive Health Strategies 10:38 Successful Public Health Projects in Emergency Medicine 11:19 Exploring Alternative Interventions in Emergency Departments 11:52 Highlights from the Premier Conference 12:54 Intranasal Ketorolac for Pain Management 15:46 The Future of Peer Review in Medical Research 20:09 Concluding Thoughts and Upcoming Content
Jak vážný bezpečnostní problém jsou v Německu útoky nožem? Mohl by indický premiér Módí zprostředkovat jednání mezi Moskvou a Kyjevem? Jsou navrhované změny zákoníku práce spíše ve prospěch zaměstnavatelů nebo zaměstnanců? A jak se dá za 10 dní a 100 eur procestovat Evropa?
Jak vážný bezpečnostní problém jsou v Německu útoky nožem? Mohl by indický premiér Módí zprostředkovat jednání mezi Moskvou a Kyjevem? Jsou navrhované změny zákoníku práce spíše ve prospěch zaměstnavatelů nebo zaměstnanců? A jak se dá za 10 dní a 100 eur procestovat Evropa?Všechny díly podcastu Hlavní zprávy - rozhovory a komentáře můžete pohodlně poslouchat v mobilní aplikaci mujRozhlas pro Android a iOS nebo na webu mujRozhlas.cz.
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.
Welcome to the St Emlyn's Monthly Podcast, your go-to source for the latest insights, developments, and discussions in emergency medicine and critical care. Each month, Simon and Iain will bring you in-depth analysis, evidence-based practices, and practical advice to enhance your clinical practice and professional development. In this round-up of May 2024, we talk about a wide range of issues relating to emergency medicine, including highlights from the RCEM conference, including the future management of head injury, crowding, RATing and what it takes to be an awesome ED for training. There's also advice on how to be a epic Emergency Physician In Charge, as well as discussion about the use of ChatGPT for medical exams, serratus anterior blocks for rib fractures, whether first pass success matters and the return of measles. Thank you for joining us, please do like and subscribe wherever you get our podcasts.
Aktuální dění očima Jana Krause každé ráno 5:00 – 9:00 vždy po zprávách v celou a v půl exkluzivně na Frekvenci 1. Vtipně, originálně a s nadhledem, tak to umí jenom Jan Kraus. Blondýna Miluška Bittnerová se ptá na vše, o čem se mluví, a Jan Kraus jí to vysvětlí.
In this episode, I am joined by the clinical leads for sustainability from Swansea Bay university health board: Alex Strong, Elana Owen and Sue West-Jones. We talk about the work that they are doing to make their departments more sustainable and environmentally friendly, and how they are using their roles to embed sustainability across the health board. Mentioned in the episode: New roles boost Swansea Bay's sustainability aspirations - Swansea Bay University Health Board (nhs.wales) NHS England » Systems convening Welsh anaesthetic Green Network (WAGN) - Green Health Wales Health Care Without Harm (noharm.org) Centre for Sustainable Healthcare | New expectations of health boards to improve experience, speed up access and reduce emissions in emergency departments | GOV.WALES Green ED: Home (rcem.ac.uk) Welsh Government commits to RCEM's GreenED programme | RCEM The Well-being of Future Generations | GOV.WALES Well-being of Future Generations (Wales) Act 2015 – The Future Generations Commissioner for Wales
In this conversation, we will look at the life of an Advanced Clinical Practitioner (ACP). We will dig into what the training looks like, the autonomy involved, the various specialisms you can take, what Dan has learnt along the way and much more. As more and more alternative career pathways are opening, we explore if this one is an attractive option. We also look at the alignment to the Royal College of Emergency Medicine (RCEM) curriculum and how this shapes Dan's practice, skills and clinical decision making. ACPs play a vital role in the delivery of emergency care across the UK. They now make up over 10% of the college membership. There are over one thousand ACP members and this number is rapidly increasing. ACPs are represented on all major RCEM Committees. We also examine some of the educational expectations outside of the RCEM curriculum to fulfil the role as an ACP and also some of the various clinical backgrounds that ACPs come from. To find out more about the ACP role you can visit the RCEM website, menu, - training / careers/ Advanced Clinical Practitioner https://rcem.ac.uk/emergency-care-advanced-clinical-practitioners/ This podcast is sponsored by PAX. Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid-access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range please click here: https://www.pax-bags.com/en/
Happy March! This month for the March 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment with Andy and Dave talking about the use of dexamethasone in migraine. Becky and Chris will then discuss the RCEM and Royal College of Radiologist guidelines for diagnosing thoracic aortic dissection. We then have another New in EM discussing transfusion thresholds in MI, and then end with New Online. If you'd like to email us, please feel free to do so here. (02:47) New in EM - Dexamethasone in Migraine New in EM - Randomized Trial Comparing Low- vs High-Dose IV Dexamethasone for Patients With Moderate to Severe Migraine (Friedman et al., 2023) Steroids (Dexamethasone) for Prevention of Migraine Recurrence - Andy Neill, The NNT (17:36) Guidelines for EM - RCEM and RCR - Thoracic aneurysm dissection RCEM and RCR - Diagnosis of Thoracic Aortic Dissection in the ED RCEMLearning - January 2024 (Aortic Dissection in ED) (01:11:05) New in EM - Transfusion thresholds in MI New in EM - Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (Carson et al., 2023) RCEMLearning March 2024 (Show Notes) (01:25:45) New Online – new articles on RCEMLearning for your CPD Acute Right Heart Failure - Angus Perks, William Kenworthy Public Health in the Emergency Department Series #3 - Learning Disability - Olivia Villegas Curriculum Quiz: Pharmacology and Poisoning - RCEMLearning Team
38 tisíc dárců je v Českém registru dárců krvetvorných buněk. Reálně ale daruje kostní dřeň jen zlomek z těchto lidí. Na rozdíl od krve se totiž hledají buňky až pro konkrétního pacienta. Ročně se tak dřeň odebírá jen ve stovkách případů. Šance, že se člověk v registru stane dárcem, je asi 1:500. Co ho čeká, když se najde shoda příjemce a dárce? Vysvětlí Simona Hammerová, jedna z koordinátorek, která provádí dárce celým procesem. Přihlásit se a stát se dárcem můžete na Darujzivot.cz.
Nedávejme ničemu a nikomu přednost před Kristem, který dává věčný život. Duchovní slovo - P. Ondřej Salvet
This month Graham talks to our very own Rob Hirst about Establishing the research priorities of emergency medicine trainees, patients and carers across the UK and Ireland: the TERN Delphi study. Then Susie Roy discusses Cervical spine movements during laryngoscopy and orotracheal intubation: a systematic review and meta-analysis.
This month for the April 2023 RCEMLearning podcast we've got two New in EM segments looking at using lactate to identify epileptic seizures and the impact of familiarity on performance. Becky and Chris delve into a guideline for non-fatal strangulation, and then finally we bring you three new articles for your CPD in New Online. If you'd like to email us, please feel free to do so here. (03:15) New in EM - Using lactate to diagnose epileptic seizures Utility of serum lactate on differential diagnosis of seizure-like activity: A systematic review and meta-analysis - Patel et al. (2022) (13:45) Guidelines for EM - Non-fatal strangulation Managing non-fatal strangulation in the emergency department FFLM Guidelines for non-fatal strangulation (01:03:55) New in EM - Impact of familiarity on performance Effect of Increased Interprofessional Familiarity on Team Performance, Communication, and Psychological Safety on Inpatient Medical Teams: A Randomized Clinical Trial - Iyasere et al. (2022) (01:13:52) New Online – new articles on RCEMLearning for your CPD Ramadan in the ED - Usama Basit Brugada Syndrome – Sameera Ganti, Derek Heng Jiun Yi, Eunizar Omar Management of Haematuria – Evan Coughlan and Andrew Parfitt
This month Noel and Stephen discuss Diagnostic performance of S100B as a rule-out test for intracranial pathology in head-injured patients presenting to the emergency department who meet NICE Head Injury Guideline criteria for CT-head scan, and Graham discusses Paediatric acute non traumatic limp.
Our regular monthly round up and chat from the St Emlyn's blog. We talk about the use of artificial intelligence in research and the use of remifentanil instead of neuromuscular blockade in rapid sequence intubation. Plus more about the StEmlynsWILD conference and Simon's new role as Dean of RCEM and how you can get involved.
This month for the February 2023 RCEMLearning podcast we've got two New in EM segments looking at pad placement for transcutaneous pacing and post-ROSC blood pressure targets in cardiac arrest. Becky and Chris a look at the RCEM guidelines for cannabinoid hyperemesis and then we return to New Online with some new articles for your CPD. If you'd like to email us, please feel free to do so here. (02:04) New in EM - AP Pad Placement for Transcutaneous Pacing Anteroposterior pacer pad position is better than anterolateral for transcutaneous cardiac pacing - Moayedi et al. (2022) (16:54) Guidelines for EM - Cannabinoid hyperemesis syndrome RCEM Guidance for Cannabinoid hyperemesis syndrome Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review - van Boekel et al. (2013) (48:08) New in EM - Blood pressure targets in cardiac arrest Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest - Kjaergaard et al. (2022) (100:15) New Online – new articles on RCEMLearning for your CPD Getting into the Flow: Operational Efficiency in ED – Adam Dalby Curriculum Cup Resus – RCEMLearning Severe hypothermia – Tim Harris & Jonathan M Jones
Beats by Girlz Türkiye işbirliği ile gerçekleştirdiğimiz podcast serimizin son konuğu Paptırcem olarak tanınan Sena oldu. Sena ile müzisyenlik yolculuğu, müzikal tarzı ve ilk defa bir festivalde sahneye çıkmanın verdiği hisler üzerine konuştuk. Keyifli dinlemeler.
V roce 2022 vůbec poprvé v ČR část svých jater darovala vážně nemocné pacientce její sestra. Obě jsou hosty pořadu se svým skutečným a velmi osobním příběhem. Unikátní operaci provedli lékaři v pražském Institutu klinické a experimentální medicíny. Skupinu vedl Doc. MUDr. Jiří Froněk, Ph.D., FRCS, přednosta Kliniky transplantační chirurgie IKEM. Další díl pořadu Moci bez nemoci přináší jedinečnou naději na život.
Kdy je správný čas na první brandovou kampaň a kolik si připravit peněz? Co v reklamě funguje? A jakou roli v tom hraje kreativa? Poslechněte si odpovědi od tvůrce křeččí reklamní kampaně pro Dedoles, kreativce Radovana Andreje Greža. Odkazy na zmiňovaná videa najdete v článku na www.miton.cz/podcast
Join Ciara as she speaks with emergency medicine consultant and Vice President of the RCEM, Dr Boyle about the inner workings of life in A&E.
Vic speaks with Eve Purdy about their recent paper in Advances in Simulation - Taking simulation out of its “safe container”—exploring the bidirectional impacts of psychological safety and simulation in an emergency department. We talk about the shared experience of many simulation educators that led to the research question – How does psychological safety in the workplace affect that experienced in the ‘sim space' and how does that leak back in turn? Eve describes the methods and findings, and refers to the wealth of literature on psychological safety in simulation that this paper builds upon – research by Roison O'Donovan, Jenny Rudolph's foundational ‘safe container article, Michaela Kolbe's work on the ‘dynamic balancing act' in simulation debriefing and more. The episode includes quotes and audio snippets from simulation colleagues – Ben Symon, Chris Roussin, Jenny Rudolph, Walter Eppich and Michaela Kolbe. For more on psychological safety in simulation and the workplace – these prior simulcast episodes on the ‘safe container' and ‘rapport' might be of interest, together with Eve's recent talk to RCEM on psychological safety in emergency medicine. This is the latest in our Simulcast collaboration with Advances in Simulation – an open access Simulation Journal. Thanks also to the teams at Gold Coast Health Emergency Department and to the Emergency Medicine Research Foundation who provided grant funding for the study
Tato epizoda není dlouhá. To nejdůležitější už bylo řečeno. Myslím, že i několikrát. I to, že jste tvůrci svého života. Že i když se to zdánlivě nezdá, je na vás, jaký život prožijete. Je na vás, s kým se stýkáte, jakou práci děláte, jak se stravujete, jakým myšlenkám věříte, jaké vztahy ve svém životě máte, jak se máte každý den. A tak vás svými slovy chci podpořit, že to všechno má smysl. Že nyní tvoříme něco nového a nádherného a že to všechno stojí za to!
Sponzorováno: Petr Macek byl původně stavební inženýr, nicméně velmi rychle zjistil, že to není práce, která by ho naplňovala. Pustil se tedy o marketingu a nakonec podnikal na volné noze. Dnes je tvůrcem podnikatelské aplikace Caflou.cz a o svém příběhu mi přišel povídat do studia MladýPodnikatel.cz. Aplikace Caflou.cz sdružuje na jedno místo důležité nástroje pro podnikání. Můžete v ní třeba vystavovat faktury, ale současně i řídit celé své cashflow a mnohem efektivněji tak kontrolovat peníze ve vašem podnikání. Současně v ní můžete spravovat své projekty a jednotlivé úkoly, evidovat své klienty a obchodní partnery a mnoho dalšího. O tom, jak Petr začínal podnikat a jak rozjížděl svou aplikaci, jsme si povídali v tomto rozhovoru, který najdete i v našem podcastu o podnikání. Co se v rozhovoru dozvíte? - Jak se ze stavebního inženýra stane internetový podnikatel? - Proč se Petr rozhodl vytvořit vlastní aplikace a čím chce porazit konkurenci? - Jak dnes Caflou.cz funguje a jak k jeho budování Petr přistupuje? - Co se zatím při vývoji aplikace naučil a jak ten vývoj probíhá? - Jak z osobní potřeby udělat produkt, který zaujme zákazníky? rostecky.cz www.rostecky.cz Veškerá doporučení, informace, data, služby, reklamy nebo jakékoliv jiné sdělení zveřejněné na našich stránkách je pouze nezávazného charakteru a nejedná se o odborné rady nebo doporučení z naší strany. Podrobnosti na odkazu https://mladypodnikatel.cz/upozorneni.
For those of you who weren't able to attend and for those of you who want to listen again to some of the great talks, this month we'll be bringing you some of the superb plenary sessions on the podcast.
This talk hopes to explore how we make decisions in the ED, why it's often difficult in a time poor, information light setting and gives some strategies for how we might analyse and improve our performance.
For those of you who weren't able to attend and for those of you who want to listen again to some of the great talks, this month we'll be bringing you some of the superb plenary sessions on the podcast.
For those of you who weren't able to attend and for those of you who want to listen again to some of the great talks, this month we'll be bringing you some of the superb plenary sessions on the podcast.
For those of you who weren't able to attend and for those of you who want to listen again to some of the great talks, this month we'll be bringing you some of the superb plenary sessions on the podcast.
For those of you who weren't able to attend and for those of you who want to listen again to some of the great talks, this month we'll be bringing you some of the superb plenary sessions on the podcast.
In addition to being a Consultant Trauma and Vascular Surgeon, Dr Brohi is also a Professor in Trauma Sciences and the founder of Trauma.org. He spoke to us on the subject of critical bleeding in trauma patients.
September 2015 brought us the superb RCEM Annual Scientific Conference in Manchester. Rick Body and the Organising Committee did a superb job of providing us with 3 days of education, entertainment and networking.
For those of you who weren't able to attend and for those of you who want to listen again to some of the great talks, this month we'll be bringing you some of the superb plenary sessions on the podcast.
For those of you who weren't able to attend and for those of you who want to listen again to some of the great talks, this month we'll be bringing you some of the superb plenary sessions on the podcast.
What does the presence of dipstick haematuria mean to you in the context of blunt abdominal trauma? This podcast investigates a recent paper on the topic and discusses its utility.
When you assess your patient you need to take a good focussed history, make a thorough examination focussing on evidence of respiratory failure/distress and make an assessment to the hydration status of the child, whilst thinking about and taking steps to discount other diagnoses such as pneumonia and Viral Wheeze.
It is most useful in the non-shockable side of the algorithm and can be an aid when considering the 4 Hs and the 4 Ts of the ALS Algorithm
Here's what went on at the fantastic RCEM '15 Annual Conference in Manchester on the final day
Here's what went on at the fantastic RCEM '15 Annual Conference in Manchester on Day 2
Here's what went on at the fantastic RCEM '15 Annual Conference in Manchester on Day 1
Urine testing potentially isn't the most glamorous of topics but it's an area which there's a HUGE scope for us improving on.
Traumatic Cardiac arrest is a stressful and time critical presentation to the ED. You need to have a solid structure in your mind for how to deal with it in a safe and effective manner.
The Returning Traveller is designed to give junior ED clinicians the tools needed to safely manage these patients who attend more often – and more unwell – than we think.
So here is a guide to the new NICE pneumonia guidelines that were published in December 2014, I hope you find it useful.
There's no doubt that a case of sepsis will pass through your ED in the next hour or so.
SMACC-US was phenomenal! An amazing event, superb education, great networking, and fantastic hospitality. Here's a brief overview of some highlights.
Best Practice Guidelines are produced by the Royal College for important problems where there is anticipated to be little or no relevant high quality evidence.
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