RCEM Learning RCEM Learning

Happy April! This month for the April 2024 episode of the RCEM Learning Podcast Rob and Liz have got two New in EM segments with Andy and Dave looking at ondansetron in ketamine sedation and the use of antibotics in brain injury. We have a Guidelines for EM looking at the management of hyperemesis gravidarum and we have an interview with Vicky Price from the Society of Acute Medicine. We then end with New Online. If you'd like to email us, please feel free to do so here
(04:56) New in EM - Ondansetron in ketamine sedation New in EM - Review article: Efficacy of prophylactic ondansetron versus placebo or control in reducing vomiting in children undergoing ketamine procedural sedation in the emergency department: A systematic review and meta-analysis (Hudson et al., 2024) (16:18) Guidelines for EM - RCOG - Hyperemesis Gravidarum The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69) (01:02:10) Interview with Vicky Price (Society of Acute Medicine) Society for Acute Medicine - Podcasts (01:38:05) New in EM - Antibiotics in brain injury Ceftriaxone to prevent early ventilator-associated pneumonia in patients with acute brain injury: a multicentre, randomised, double-blind, placebo-controlled, assessor-masked superiority trial (Dahyot-Fizelier et al., 2024) (01:51:24) New Online – new articles on RCEMLearning for your CPD Charlotte Davies - Departmental Handover Edward Snelson and Hannah Walsh - Recognising Paediatric Sepsis Fatema Jaffer and Riad Hosein - Congenital cardiac disease

Noel and Stephen discuss High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial

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

Happy February! This month for the February 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the use of POCUS for paediatric forearm fracture. Becky and Chris then go over the NICE Guidelines for transient loss of consciousness in the ED. Liz interviews Steve Taylor on the interface between primary and secondary care. We then go to Andy and Dave again looking at delabelling penicillin allergy, before ending it all with New Online. If you'd like to email us, please feel free to do so here.
(02:51) New in EM - POCUS for Paediatric Forearm Fractures New in EM - Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures (Snelling et al., 2023) (23:04) Guidelines for EM - NICE - Transient loss of consciousness NICE - Transient loss of consciousness ('blackouts') in over 16s Reed et al. (2023) - Management of syncope in the Emergency Department: a European prospective cohort study (SEED) (01:26:00) Interview with GP Steve Taylor Dr Steve Taylor (Twitter) Doctors' Association UK (01:46:57) New in EM - Delabelling penicillin allergy New in EM - Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Clinical Trial (Copaescu et al., 2023) (02:03:07) New Online – new articles on RCEMLearning for your CPD Measles – Liz Herrieven Hypothermic cardiac arrest - Tim Harris and Jonathan M Jones Cervical artery dissection - Jason Louis

Happy New Year! This month for the January 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the DAShED study examining the diagnosis and investigation of suspected acute aortic section. Becky and Chris then go over the RCEM Guidelines for Invasive Procedures in the ED. We then go to Andy and Dave again looking at non-invasive airway management of the comatose toxicological patient. We then end with New Online. If you'd like to email us, please feel free to do so here.
(02:58) New in EM - Diagnosis of Acute Aortic Syndrome in the Emergency Department New in EM - 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 (McLatchie et al., 2023) RCEMLearning Podcast - Aortic Dissection - Andy Neill, Becky Maxwell et al. (23:43) Guidelines for EM - RCEM - Invasive Procedures in the ED RCEM - Invasive Procedures in the Emergency Department (55:20) New in EM - Noninvasive Airway Management of Comatose Poisoned Patients New in EM - Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning (Freund et al., 2023) (01:11:40) New Online – new articles on RCEMLearning for your CPD Aortic Dissection – Gary Cumberbatch Blood Transfusion Part 1 – Derek Obiri and Charlotte Davies Blood Transfusion Part 2 – Derek Obiri and Charlotte Davies RCEMLearning Podcast - Aortic Dissection - Andy Neill, Becky Maxwell et al.

This month for the December 2023 episode of the RCEM Learning Podcast we welcome our new co-host Liz Farah. Merry Christmas!. We discuss two New in EM segments looking at overnight boarding of older patients in the ED and mortality and looking at the use of opioids in treating back pain. Rob and Liz discuss two guidelines looking at the management of hypertension in the ED and the investigation and management of cauda equina syndrome. We then end with New Online. If you'd like to email us, please feel free to do so here.
(03:10) New in EM - Overnight stays in the ED and mortality in older patients Overnight Stay in the Emergency Department and Mortality in Older Patients by Roussel et al. (2023) (24:47) Guidelines for EM - British Hypertension Society and GIRFT Cauda Equina Syndrome Pathway Management of hypertensive crisis: British and Irish Hypertension Society Position document Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Interactive Pathway) Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Full Guideline) (58:36) New in EM - Opioids for back pain Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial by Jones et al. (2023) (01:22:00) New Online – new articles on RCEMLearning for your CPD RSI in the ED – Charlotte Davies Bifascicular Block – Mohd Farooq Parey, Kate Turnbull, Asim Aijaz TERN Christmas Cases – Raj Chatha, Gov Oliver, Fraser Birse, Rory Anderson, Hridesh Chatha