EMJ Podcast

Sicker and longer is the trend in ED stays, and vaping is not just "smoking lite" - EMJ Primary Survey April 2026

Fri, 10 Apr 2026 12:51:18 +0100

This month we've got a few papers on dealing with smoking - and not smoking - in the emergency department. The episode starts off with a discussion of a paper on automating high-flow nasal oxygen, and the importance of titration of oxygen levels - critical for patients with COPD. Then there's a paper questioning, can nicotine replacement therapy in the ED really work? This is followed by a research paper addressing the gaps in tracking of vaping and substance use - should doctors be asking more about use of vapes? To finish off the episode there's an analysis of the shifting trends in ED attendance, with case complexity seeing a dramatic increase.

Read the highlights: Primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior 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.

NHS strikes, Lebanon pager attacks, and maternal cardiac arrests - Primary Survey March 2026

Mon, 02 Mar 2026 11:38:34 +0000

What happens to an emergency department when staff go on strike? A new study published in EMJ examines this challenging scenario and its impact on patient flow. Another paper looks at the hybrid-warfare attack carried out in Lebanon, where exploding pagers caused a mass casualty incident, and what emergency departments can learn from managing that event. EMJ editor Prof. Richard Body adds some of his own reflections from the Ariana Grande concert terror attack in Manchester. Two more complex situations round out the list of papers for this episode, covering out-of-hospital cardiac arrest in pregnant patients, and magnet ingestion in children.

Read the highlights: Primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

Solving corridor care, and return of spontaneous circulation: Primary Survey February 2026

Tue, 27 Jan 2026 05:00:00 +0000

"Should we be giving blood transfusions to patients with traumatic cardiac arrest?" EMJ editor Prof. Richard Body and associate editor Dr. Sarah Edwards talk through some original research on the value of blood transfusions in this difficult situation. Next is the new UNCORKED study from the Trainee Emergency Research Network (TERN), with some sobering statistics on the prevalence of emergency care carried out in non-standard treatment places across the UK. Then we move to a world of high-pressure injuries, often caused by industrial spraying equipment, where things on the surface aren't quite as they seem. The last paper returns to the theme of cardiac arrests, examining the predictive value of end-tidal CO2 usage.

Read the highlights: Primary survey:

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Editor-in-Chief, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

Facial scarring, paracetamol overdose, and same day treatment: January 2026 Primary Survey

Fri, 19 Dec 2025 01:00:00 +0000

It's the first issue of 2026, and the first with new editor-in-chief Prof. Richard Body heading the journal. He is joined by senior associate editor Dr. Sarah Edwards, as they take a look at some highlights of the issue.

First in the line-up is a paper looking at how "Same day emergency care" units, or SDECs, have come to mean quite different things across the UK. In some cases, the rule-out processing of SDECs harks back to "What the ED used to do" in past years. The next paper is an examination of the treatment methods for paracetamol overdose, specifically the SNAP protocol for accelerated infusion of N-acetylcysteine. This new analysis considers the likelihood of anaphylactoid reactions across age groups. Third to be discussed is a retrospective study on the relationship between length of stay and morbidity and mortality in older patients. This large study from Singapore suggests a systemic change in approach is needed for handling triaging and discharge of this patient group. The final topic is facial lacerations, with a Best Evidence Topic report addressing the use of topical silicone gel. Many patients are rightly concerned about scarring on such a personal part of the body as their face, and the report finds some encouraging support for use of the gel to improve cosmetic healing.

Read the highlights: January 2026 primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Editor-in-Chief, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

"Don't say the Q word!" and relying on AI: December 2025 Primary Survey

Tue, 02 Dec 2025 01:00:00 +0000

One thing you'll never hear in the emergency department is the sound of silence. And if the hubbub should start to lower, woe betide the ED staffer who dares to say, "it's looking quiet tonight." But should we really be so concerned? A paper in this episode's roundup takes a look at superstition versus science. Staffing concerns is another ever-present topic when it comes to the ED, and Rick and Sarah share an insightful evaluation of the time saving offered by voice recognizing "AI scribes". The numbers show some serious benefits, but do they really work? The same question can be asked of the X-ray assessment tools that are rolling out in emergency departments across the world. Rick and Sarah take a look at a study detailing their affect on correct diagnoses. There's also also a case-based paper discussing practices for evaluating IUD-related issues using ultrasound.

This is the final issue with Prof. Ellen Weber serving as the Editor-in-Chief of the Emergency Medicine Journal. Ellen's tenure has been a long and successful one, and everyone in the podcast team wishes her the best in retirement from the post.

Read the highlights: December 2025 primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

The riddle of Resusci Annie, explaining functional neurology, and flying doctors: November 2025 Primary Survey

Wed, 05 Nov 2025 10:30:31 +0000

Despite what the CPR doll might suggest, cardiac arrest patients are not always white, lean and male. So why is that the case for resuscitation training? The first paper in this episode addresses this lack of representation and the impact it has on resus performance. The next paper is a practice review of functional neurological disorder (FND), highlighting the poor diagnosis rate and history keeping for this condition, as well as offering ways to communicate with patients. There's also a paper on the dilemma of febrile infants with concurrent viral and bacterial infections, and another on aeromedical service sedation protocols in the Australian Outback.

Read the highlights: November 2025 primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

“Whose turn is it?” - Moral injury and predicting wait times: October 2025 Primary Survey

Tue, 07 Oct 2025 13:17:47 +0100

The atmosphere of the emergency department can be a hard thing to put into words, with intense emotions washing over patients and staff alike. This month we feature a poem, powerfully illustrating the drama and stress inside the ED bubble. One of the recurring sources of uncertainty for patients is the question, “How long until I’m seen, doc?”, and there’s a paper following up on that issue with a personalised approach. A framework that has been employed by NHS England, aimed at dealing with the problem, is Same Day Emergency Care (SDEC). The next paper finds there is a limited evidence on the impact of SDECs, as well as confusion around their definition. Another paper on the subject of patient flow shows that while digital solutions are promising, you can’t replace a streaming nurse for critical decisions. To finish the episode is a 10-year retrospective review on the use of blood in paediatric trauma, drawing on the data of the Trauma Audit Research Network.

Read the highlights: October 2025 primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

Code status conversations, and attitudes towards asthma: September 2025 Primary Survey

Thu, 04 Sep 2025 14:55:38 +0100

"What is your understanding of your father's illness?" This is the kind of question that may be posed by emergency clinicians in the context of end-of-life care. But as a survey of Thai and American emergency departments finds, approaches to these conversations can be quite different globally. This episode also features another angle on end-of-life care, highlighting the persistent impact that deprivation has when it comes to likelihood of hospital conveyance. On a different subject, there is a qualitative study of the management of acute asthma presentations, seeking to find any marginal gains that may present a chance for optimisation. The fourth and final paper is about acute coronary syndromes in the emergency department, presenting some surprising statistics on length of stay.

Read the highlights: September 2025 primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

Inspecting tongues for appendicitis, and looking out for legal liability: August 2025 Primary Survey

Fri, 01 Aug 2025 05:00:00 +0100

A new paper on the challenging diagnosis of acute appendicitis has us wondering, can it be spotted with just a glance? The reality is never so simple. This episode we also discuss low-value overtesting, cardiac arrest trial consent, and patient discharge into police custody. As with many aspects of the ED, they each have a layer of legal pressure to consider.

Read the highlights: August 2025 primary survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

Avoiding burnout, major incident preparedness, and suicide post-ED contact: July 2025 Primary Survey

Fri, 04 Jul 2025 10:14:50 +0100

The NHS plans to set up mental health emergency departments throughout England. A survey discussed this episode highlights the importance of mental health assessments, finding that nearly a quarter of suicide deaths in a one year period had come after hospital or emergency department contact. Another survey raises the question, "How well is your ED prepared for a major incident?" and the statistics do not inspire confidence. Two more papers in this episode offer potential bulwarks against burnout of ED staff: global health outreach work, and self-rostered rotas. But there may be some downsides to watch out for too. Finally, a look at pulse oximetry for testicular torsion diagnosis.

Read the highlights: July 2025 Primary Survey

The EMJ podcast is hosted by:

Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

Salbutamol for analgesia, low-tech randomisation and cannulation numbing: June 2025 Primary Survey

Thu, 05 Jun 2025 14:58:24 +0100

Can salbutamol be used be used to relieve pain in renal colic patients? Starting off this month's episode, a randomised trial seeks to find the answer. Then a topic of interest for anyone seeing patients with a phobia of needles, namely a study comparing coolant spray with topical anaesthetic cream for reducing pain from intravenous cannulation. Next, randomisation is a necessary tool for many trials, but what if you want something that's less high-tech, and more high-street? That's right, scratch cards! And finally, fear of not making the right decision dominates when it comes to paramedic conveyance to the paediatric emergency department. "We just take them in," "parents know best," and "if only they could talk" are some of the revealing quotes found in the study wrapping up this month.

Read the highlights: June 2025 Primary Survey

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)

Acute palliative care, hands-free epistaxis relief, and modern laryngoscopy: May 2025 Primary Survey

Thu, 01 May 2025 12:31:27 +0100

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

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)

The walk-in wounded, detecting hypofibrinogenemia, and "time is testicle!": April 2025 Primary Survey

Tue, 01 Apr 2025 05:00:00 +0100

Trauma and paediatrics are the themes for this month's collection of papers. Starting off is a review of the effectiveness of prehospital ultrasound in detecting lung injury, with some surprising statistics. Next is a letter on the topic of self-presentation by paediatric patients with major trauma, which is thankfully a rare occurrence. The third paper looks at prehospital testing of trauma patients for low fibrinogen levels, a condition which can lead to worse bleeding, increased transfusions, and higher mortality. The final paper discusses the worrying topic of delayed presentation with testicular pain, a phenomenon which leads to significantly lower salvage rates. This can arise from lack of information or embarrassment, particularly in younger males.

Read the highlights: April 2025 Primary Survey

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 iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

Dementia care, supporting ACPs, and handling hidradenitis suppurativa: March 2025 Primary Survey

Mon, 03 Mar 2025 09:53:35 +0000

Advance clinical practitioners (ACPs) can have a big role to play in the emergency department, but their career paths are not always well understood. This episode features three papers from the journal which begin to address that - a census survey of over 1000 ACPs, a qualitative study on their experiences in emergency care, and a commentary on how to improve ACP training. There is also a paper from Canada discussing considerations to be made for patients living with dementia, as well as their care partners who may be accompanying them to the hospital. A bit of a curveball to close out, with a review on hidradenitis suppurativa, a challenging skin condition which can take years for a diagnosis.

Read the highlights: March 2025 Primary Survey

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 iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

Improving sex and gender equity, rapid virus testing and saline injections for pain relief: February 2025 Primary Survey

Wed, 05 Feb 2025 05:00:00 +0000

Another packed issue of the journal this month, and a podcast to match. Starting off with the Editor's Choice paper, on the important topic of sex and gender disaggregation in emergency medicine trials. Sex and Gender Equity Reporting (SAGER) guidelines were introduced in 2016 but poor adherence is still found in current publications. Next is a paper with high seasonal relevance, addressing the sensitivity and specificity of multiplex lateral flow tests for Flu A, Flu B and COVID 19. There's also a randomised controlled trial on nebulised corticosteroids for asthma exacerbation, and to finish, a question few might think to ask - can intradermal injection of sterile water offer pain relief to renal colic patients?

Read the highlights: February 2025 Primary Survey

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.

Overcrowding in the emergency department, with Dr. Adrian Boyle and Prof. Ellen Weber

Thu, 16 Jan 2025 06:41:00 +0000

A special bonus podcast this time, on the perennial issue of crowding. Rick and Sarah are joined by Royal College of Emergency Medicine president Dr. Adrian Boyle, and EMJ's editor-in-chief Prof. Ellen Weber. They address recent evidence for crowding's harmful impact, the arm-twisting needed to shape policy, how it shapes patient confidence, and what the future of crowding looks like.

Links:

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.

Warzone mentality in the ED, and finding balance with hospital pre-alerts: January 2025 Primary Survey

Tue, 07 Jan 2025 11:14:32 +0000

It's a celebration of qualitative research to start the new year, with a collection of papers offering new perspectives on emergency department issues. First is a pair of papers centred on the theme of pre-alerts to the emergency department. Setting the scene for a patient's arrival is a vital process, yet it can generate fear of criticism for getting the balance wrong, when it comes to over- and under-alerting. Following on is a paper taking a look at the human experience of working in the emergency department, and the war-like atmosphere that can be found there. This leads to the final paper on well-being interventions in the ED, with interviews having found real limitations to current approaches.

Read the issue highlights: January 2025 Primary Survey

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.

Compelling evidence for rule-out of subarachnoid haemorrhage and aortic dissection: December 2024 Primary Survey

Tue, 03 Dec 2024 12:15:02 +0000

Subarachnoid haemorrhage is a diagnosis that can't be missed, but it is not a simple process to detect it. The first paper for discussion this month questions if a CT scan within 6 hours is sufficient for exclusion in patients with acute headache. Then there is a large-scale analysis of over 400 million ED visits in the USA, focussing in on the significant issue of self-harm in the homeless population. Next is a paper on a decision tool for suspected acute aortic syndrome, and to finish, a discussion on the change in ED culture around safety since the COVID pandemic.

Read the issue highlights: December 2024 Primary Survey

Articles discussed in this episode:

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.

Missing elbow fractures, and consulting the elders: November 2024 Primary Survey

Fri, 01 Nov 2024 05:00:00 +0000

Upper limb injuries make up about three-quarters of the limb injuries to children seen in the emergency department. But when it comes to the elbow, just how good are clinicians at diagnosing based on radiography? The first paper this month is a study putting over 300 global participants to the test. There's also a practice review highlighting the concept of shared decision making with frail elderly patients, a discussion of biomarkers for aortic dissection detection, more on telephone triage, and an interesting questionnaire on patient experience.

Read the issue highlights: November 2024 Primary Survey

Articles discussed in this episode:

Links:

Understanding escalation area and corridor care in UK emergency departments (UNCORKED)

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.

Ranking anaesthesias for wrist fracture, and finding pneumothoraces with AI: October 2024 Primary Survey

Tue, 01 Oct 2024 05:00:00 +0100

There's a whole pile of blocks in this month's papers, with the first being a trial of Erector-Spinae Plane (ESP) blocks, not for rib fractures as you might expect but Hepato-Pancreato-Biliary (HPB) pain instead. Following on from that is a retrospective study comparing the resource utilisation of haematoma blocks, Bier’s blocks and procedural sedation for patients with forearm fractures. The next paper sets the performance of unassisted radiographers against those armed with artificial intelligence algorithms when diagnosing pneumothorax, and the results show an interesting demographic trend. Concluding the discussion topics this month is a letter regarding "on-scene time" for ambulances when assessing patients for suspected stroke - a situation where every minute counts.

Read the issue highlights: October 2024 Primary Survey

Articles discussed in this episode:

EASIER trial (Erector-spinAe analgeSia for hepatopancreaticobiliary pain In the Emergency Room)

Haematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study

Evaluation of the impact of artificial intelligence-assisted image interpretation on the diagnostic performance of clinicians in identifying pneumothoraces on plain chest X-ray: a multi-case multi-reader study

On-scene times during ambulance assessment of suspected stroke patients across England from December 2021 to November 2022

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.

Inducting new doctors, and managing rib fractures: September 2024 Primary Survey

Wed, 04 Sep 2024 11:40:26 +0100

Being fallible was one of the most valued characteristics in a consultant, according to new doctors going through their induction - that's the subject of the first paper this month. Next up is a study on the impact of noise on hospital staff, which includes some simple interventions with measurable impact. There's also a discussion on pain relief for rib fractures, and how frailty scores are linked to 30-day mortality in patients.

Read the issue highlights: September 2024 Primary Survey

Articles discussed in this episode:

Qualitative study of new doctor induction and socialisation

Reduced noise in the emergency department: the impact on staff well-being and room acoustics

The RELIEF feasibility trial: topical lidocaine patches in older adults with rib fractures

Frailty is associated with 30-day mortality: a multicentre study of Swedish emergency departments

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.

When to CT scan after a seizure, and indirect signs of appendicitis: August 2024 Primary Survey

Fri, 02 Aug 2024 13:27:06 +0100

The recovery of laceration repair patients is the topic of this month's first paper, looking at behavioural disturbances in children following these difficult medical procedures. The second paper deals with pre-hospital use of tranexamic acid for trauma, and surfaces some demographic discrimination in its rates of application. Next there is an observational study which has developed a score for indirect signs of appendicitis on ultrasounds where the appendix is not visualised. Finishing off the episode is a "Best Evidence" report, dealing with the appropriate usage of CT scans on patients first presenting with a seizure.

Read the issue highlights: August 2024 Primary Survey

Articles discussed in this episode:

Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes

Evaluation of the prehospital administration of tranexamic acid for injured patients: a state-wide observational study with sex and age-disaggregated analysis

Predictive values of indirect ultrasound signs for low risk of acute appendicitis in paediatric patients without visualisation of the appendix on ultrasound

Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure?

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.

Opioid toxicity, thrombectomy transfers, and austerity’s impact: July 2024 Primary Survey

Thu, 04 Jul 2024 16:39:03 +0100

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.

Patient self-perception, and presentations of headache: June 2024 Primary Survey

Thu, 06 Jun 2024 10:16:53 +0100

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.

Interventions for smoking cessation, AI CT scan triaging, and cyclic vomiting: May 2024 Primary Survey

Thu, 09 May 2024 12:42:30 +0100

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.

Suspicious chest pain, inequality in COVID outcomes, and staff retention problems: April 2024 Primary Survey

Fri, 05 Apr 2024 15:32:52 +0100

“Social distancing is a privilege,” is the core message underlying the first paper brought by Sarah to this month’s roundup, as it unpacks the stark differences in COVID-19 outcomes across the spectrum of racial and ethnic groups in the United States. A second paper examines the returning rates of COVID patients across a large group of emergency departments in Canada, and the factors at play there. The final topic is one of Rick’s favourites, focusing on troponin testing in ambulances.

Articles discussed in this episode:

Pandemic phase-related racial and ethnic disparities in COVID-19 positivity and outcomes among patients presenting to emergency departments during the first two pandemic waves in the USA. Khosla S, Del Rios M, Chisolm-Straker M, et al.

Characteristics and outcomes of patients with COVID-19 who return to the emergency department: a multicentre observational study by the Canadian COVID-19 Emergency Department Rapid Response Network (CCEDRRN). Rosychuk RJ, Khangura JK, Ortiz SS, et al.

Perceived barriers and opportunities to improve working conditions and staff retention in emergency departments: a qualitative study. Daniels J, Robinson E, Jenkinson E, et al.

Prehospital T-MACS and HEART scores in the prediction of myocardial infarction: a prospective evaluation. Cooper JG, Donaldson LA, Coutts AJ, 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.

Aortic dissection, coroners’ court, and age-related outcomes: March 2024 Primary Survey

Mon, 04 Mar 2024 05:00:00 +0000

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.

Trip killers, sympathetic crashing, and all sorts of sedatives: February 2024 Primary Survey

Thu, 01 Feb 2024 05:00:00 +0000

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.

Managing acute behavioural disturbance, and some innovations in emergency care: January 2024 Primary Survey

Mon, 08 Jan 2024 11:40:08 +0000

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).

Point of care ultrasound and COVID telephone triage: December 2023 Primary Survey

Wed, 06 Dec 2023 05:00:00 +0000

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)

Cauda equina diagnosis, suspected sepsis, and e-scooter cases in the ED: November 2023 Primary Survey

Wed, 01 Nov 2023 09:34:08 +0000

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)

Thank you for listening!

Clinical negligence claims, silver trauma and parental anxiety: October 2023 Primary Survey

Tue, 03 Oct 2023 15:53:31 +0100

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)

Thank you for listening!

It’s OK to feel uncertain as a new consultant: September 2023 Primary Survey

Fri, 01 Sep 2023 11:51:58 +0100

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)

Thank you for listening!

Escalation decisions during COVID, and predicting occult scaphoid fractures: August 2023 Primary Survey

Tue, 01 Aug 2023 10:18:45 +0100

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)

Thank you for listening!

IV paracetamol trumps opiates, managing prehospital self-harm, and empowering waiting patients: July 2023 Primary Survey

Mon, 03 Jul 2023 05:00:00 +0100

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)

Thank you for listening!

Primary Survey - the highlights of June 2023

Fri, 02 Jun 2023 13:55:13 +0100

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!

Primary Survey - the highlights of May 2023

Wed, 26 Apr 2023 21:41:00 +0100

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!

Primary Survey - the highlights of April 2023

Wed, 29 Mar 2023 23:33:00 +0100

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!

Primary Survey - the highlights of March 2023

Mon, 27 Feb 2023 11:50:00 +0000

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!

Primary Survey - the highlights of February 2023

Tue, 31 Jan 2023 12:13:00 +0000

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!

Primary Survey - the highlights of January 2023

Thu, 12 Jan 2023 18:59:00 +0000

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!

Primary Survey - the highlights of December 2022

Mon, 28 Nov 2022 14:40:00 +0000

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!

Primary Survey - the highlights of November 2022

Mon, 31 Oct 2022 15:26:00 +0000

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!

Primary Survey - the highlights of October 2022

Wed, 28 Sep 2022 13:08:00 +0100

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!

Primary Survey - the highlights of September 2022

Wed, 14 Sep 2022 18:49:00 +0100

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).

Primary Survey - the highlights of August 2022

Wed, 31 Aug 2022 12:20:00 +0100

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).

Primary Survey - the highlights of July 2022

Fri, 19 Aug 2022 18:46:00 +0100

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).

Primary Survey - the highlights of May 2022

Fri, 20 May 2022 09:48:00 +0100

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).

Primary Survey - the highlights of April 2022 in 30 minutes!

Wed, 27 Apr 2022 18:44:00 +0100

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).

Primary Survey - the highlights of March 2022, including MUST READ papers on ED exit block

Tue, 08 Mar 2022 15:56:00 +0000

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!

Primary Survey - the February 2022 issue in just over 30 minutes!

Thu, 20 Jan 2022 10:53:00 +0000

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!

Primary Survey - the January 2022 issue in 30 minutes!

Thu, 06 Jan 2022 23:33:00 +0000

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

Primary Survey - the highlights of December 2021

Thu, 25 Nov 2021 16:23:00 +0000

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

Primary Survey - the highlights of August 2021

Mon, 19 Jul 2021 08:08:00 +0100

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

Primary Survey - the highlights of June 2021

Tue, 15 Jun 2021 08:48:00 +0100

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

Primary Survey - the highlights of April 2021

Wed, 14 Apr 2021 10:16:00 +0100

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

Primary Survey - the highlights of February 2021

Mon, 08 Feb 2021 10:03:00 +0000

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

Primary Survey - the highlights of November 2020

Wed, 11 Nov 2020 13:40:00 +0000

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

Primary Survey - the highlights of October 2020

Thu, 29 Oct 2020 12:36:00 +0000

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

GECCo - sharing in global health for everyone

Wed, 07 Oct 2020 11:50:00 +0100

Global Emergency Care Collaborative (GECCo) is an initiative that aims to enhance global health interest and capacity within the field of emergency care. Editor-in-Chief of EMJ, Ellen Weber, talks to the group responsible for the initiative. Read the related papers on the EMJ website: https://emj.bmj.com/content/early/2020/08/29/emermed-2020-209432 - Global health and the Royal College of Emergency Medicine: a cross-sectional survey of members and fellows https://emj.bmj.com/content/36/4/255 - Emergency response training and provision of emergency response kits to Rohingya community leaders Link to the blog post: https://blogs.bmj.com/emj/2020/07/07/global-emergency-care-collaborative-sharing-in-global-health-for-everyone/

For further details or to get involved in this or future developments of GECCo, please follow us on twitter @GECCoUK or get in touch: contactgecco@gmail.com.

Primary Survey - the highlights of August 2020

Tue, 11 Aug 2020 09:49:00 +0100

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

Can COVID-19 be an opportunity for the future of Emergency Departments?

Thu, 30 Jul 2020 11:14:00 +0100

What has COVID-19 meant for emergency care, and what will have to change going forward? Dr Katherine Henderson, President of the Royal College of Emergency Medicine and the Editor-in-Chief of EMJ, Ellen Weber, discuss the reconfiguration brought to hospitals because of the pandemic and the role of emergency medicine now and in the future. They also reflect on how the virus exposed health inequalities and linked with the Black Lives Matter movement. Read the related editorial of the August issue:

https://emj.bmj.com/content/37/8/458.

Primary Survey: the highlights of July 2020

Wed, 22 Jul 2020 10:58:00 +0100

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.

Primary Survey: the highlights of June 2020

Mon, 15 Jun 2020 11:26:00 +0100

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.

Primary Survey: the highlights of May 2020

Wed, 20 May 2020 17:15:00 +0100

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

Primary Survey: the highlights of April 2020

Wed, 15 Apr 2020 12:04:00 +0100

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

Covid-19 challenges in a Singapore paediatric emergency department

Fri, 03 Apr 2020 18:29:00 +0100

Dr. Khai Pin Lee and Dr. Gene Yong-Kwang Ong, from the Department of Paediatric Emergency Medicine, Kandang Kerbau Hospital, Singapore, tell Editor-in-Chief of EMJ, Dr. Ellen Weber, how the novel coronavirus is changing their ED and the Singaporean society in general. They are two of the authors of “Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department”, a paper which will be published in the next few days by EMJ in the following address:

dx.doi.org/10.1136/emermed-2020-209634

Primary Survey: the highlights of March 2020

Mon, 16 Mar 2020 13:27:00 +0000

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

Primary Survey: the highlights of February 2020

Thu, 12 Mar 2020 11:01:00 +0000

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

BMJ Emergency Medicine Award: the HECTOR project

Thu, 09 Jan 2020 11:03:00 +0000

The Heartlands Elderly Care Trauma and Ongoing Recovery Programme is the BMJ 2018 award winner for Emergency Medicine. Dr David Raven, the National Course director for the HECTOR project and emergency medicine consultant at the Heartlands Hospital, Birmingham, UK, tells EMJ’s Editor-in-Chief Ellen Weber what makes this project unique.

Read the paper on the EMJ website (https://emj.bmj.com/content/early/2019/12/11/emermed-2019-209143) and on the February 2020 issue of the journal.

Primary Survey: the highlights of January 2020

Tue, 07 Jan 2020 16:03:00 +0000

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

Primary Survey: the highlights of October 2019

Wed, 02 Oct 2019 08:10:00 +0100

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.

Primary Survey: the highlights of September 2019

Fri, 23 Aug 2019 11:36:00 +0100

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

Primary Survey: the highlights of August 2019

Tue, 06 Aug 2019 14:02:00 +0100

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

Primary Survey: the highlights of July 2019

Thu, 25 Jul 2019 11:36:00 +0100

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.

Primary Survey: the highlights of June 2019

Tue, 21 May 2019 15:39:00 +0100

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

Primary Survey: the highlights of May 2019

Fri, 03 May 2019 16:24:00 +0100

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.

Taking the stage: a development programme for women speakers in emergency medicine

Thu, 28 Feb 2019 16:50:00 +0000

The Speaker Development Programme (SDP) is a prize-winning year-long curriculum aimed at developing women speakers as a step on the journey towards academic recognition. Editor-in-Chief of the Emergency Medicine Journal Professor Ellen Weber talks to Dr Dara Kass, the founder of this program. They also discuss the project FemInEm, an organisation dedicated to gender equity in emergency medicine. Read the related article on the EMJ website: (https://emj.bmj.com/content/early/2019/01/10/emermed-2018-207818). The commentary mentioned in the podcast will be published with the April issue of the journal. More papers mentioned in the podcast: - Are there too few women presenting at emergency medicine conferences? (https://emj.bmj.com/content/33/10/681)

- When will we have enough women speakers in emergency medicine? (https://emj.bmj.com/content/33/10/680)

Primary Survey: the highlights of February 2019

Tue, 29 Jan 2019 16:17:00 +0000

Simon Carley, Associate Editor of EMJ, talks through the 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.

Primary Survey: the highlights of January 2019

Thu, 10 Jan 2019 11:27:00 +0000

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

Primary Survey: the highlights of December 2018

Tue, 11 Dec 2018 14:56:00 +0000

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

Primary Survey: the highlights of November 2018

Tue, 04 Dec 2018 17:05:00 +0000

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

More evidence needed to divert patients from emergency departments

Thu, 15 Nov 2018 16:14:00 +0000

The systematic review discussed in this podcast outlines inconclusive evidence for the effectiveness of diversion strategies on emergency department use and healthcare utilisation. Dr Brian Rowe, from the Department of Emergency Medicine, University of Alberta, Canada, tells Editor-in-Chief of EMJ Professor Ellen Weber other strategies are needed to address ED overcrowding. Read the paper at http://emj.bmj.com/lookup/doi/10.1136/emermed-2017-207045. Related articles: The patient’s dilemma: attending the emergency department with a minor illness (https://www.bmj.com/content/357/bmj.j1941);

Low-acuity presentations to the emergency department in Canada: exploring the alternative attempts to avoid presentation (https://emj.bmj.com/content/34/4/249).

Primary Survey: the highlights of August 2018

Mon, 30 Jul 2018 15:06:00 +0100

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

Primary Survey: the highlights of July 2018

Fri, 20 Jul 2018 15:59:00 +0100

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

Primary Survey: the highlights of June 2018

Tue, 17 Jul 2018 16:08:00 +0100

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

Primary Survey: the highlights of May 2018

Fri, 29 Jun 2018 18:30:00 +0100

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

March 2018: celebrating 50 years of Emergency Medicine in the UK

Fri, 16 Feb 2018 11:11:00 +0000

Richard Body, EMJ Deputy Editor, and Simon Carley, EMJ Associate Editor, talk through the highlights of the March 2018 edition of the journal, celebrating 50 years of the UK's Emergency Medicine. It is a special podcast presenting a collection of amazing articles that tell the story of where we have come from, where we are and where we are going. It's not all opinion though. We have some fantastic papers this month including an RCT on the use of ice to reduce the pain of laceration repair (Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial - emj.bmj.com/content/35/3/179). Read the primary survey here: emj.bmj.com/content/35/3/135 Details of the other papers mentioned in this podcast can be found below: Being a pioneer in emergency medicine - emj.bmj.com/content/35/3/142 Emergency medicine research: how far have we come and where are we heading? - emj.bmj.com/content/35/3/149 How can emergency physicians harness the power of new technologies in clinical practice and education? - emj.bmj.com/content/35/3/156 Looking back and forward: emergency medicine in its 50th year - emj.bmj.com/content/35/3/137 The feasibility of an interactive voice response system (IVRS) for monitoring patient safety after discharge from the ED - emj.bmj.com/content/35/3/180 Understanding cardiac troponin part 2: early rule out of acute coronary syndrome - emj.bmj.com/content/35/3/192 Ionised calcium levels in major trauma patients who received blood en route to a military medical treatment facility - emj.bmj.com/content/35/3/176

Read the full March issue of EMJ here: emj.bmj.com/content/35/3.

Primary Survey: the highlights of February 2018

Tue, 30 Jan 2018 17:41:00 +0000

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

Primary Survey: the highlights of January 2018

Thu, 11 Jan 2018 17:55:00 +0000

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

Primary Survey: the highlights of the October 2017 issue of the Emergency Medicine Journal

Tue, 24 Oct 2017 15:21:00 +0100

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.

August 2017’s Primary Survey

Thu, 10 Aug 2017 12:26:00 +0100

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

July 2017’s Primary Survey

Thu, 13 Jul 2017 10:23:00 +0100

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

June 2017’s Primary Survey

Fri, 16 Jun 2017 16:51:00 +0100

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

May 2017’s Primary Survey

Tue, 02 May 2017 12:55:00 +0100

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.

Detecting human trafficking: a life-saving diagnosis in the emergency department

Fri, 21 Apr 2017 14:52:00 +0100

Almost 90% of the survivors of human trafficking interact with healthcare professionals and emergency medicine clinicians are the first to see them most of the times. Hanni Stoklosa, an Emergency Physician in Boston, USA, tells EMJ’s Editor-in-Chief Ellen Weber why and how we can detect victims of “modern day slavery". More information available at the website healtrafficking.org. Please visit the EMJ website (emj.bmj.com), where you can also read about: • "Developing a multidisciplinary approach within the ED towards domestic violence presentations" - http://emj.bmj.com/content/31/3/192. • "What factors are associated with repeated domestic assault in patients attending an emergency department? A cohort study" - http://emj.bmj.com/content/27/3/203.

• "Expectations and perceptions of care among victims of sexual assault who first seek care from emergency, primary care and gynaecological doctors" - http://emj.bmj.com/content/33/2/134.

April 2017’s Primary Survey

Mon, 27 Mar 2017 16:35:00 +0100

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.

March 2016’s Primary Survey

Mon, 20 Mar 2017 08:34:00 +0000

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.

February 2017’s Primary Survey

Mon, 13 Mar 2017 08:34:00 +0000

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.

November 2016’s Primary Survey

Mon, 07 Nov 2016 13:24:00 +0000

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/

That old weekend effect!

Mon, 24 Oct 2016 16:11:00 +0100

The truths and myths about the so-called "weekend effect" in the UK hospitals is discussed in this podcast. Chris Moulton, Vice President of the Royal College of Emergency Medicine and a senior consultant at the Royal Bolton Hospital, and Ellen Weber, Editor-in-Chief of the EMJ, compare two very different realities between the USA and the UK emergency medicines, in terms of resources, mind-sets and politics. Why does data show there is a disparity in mortality rate for patients admitted to hospital at the weekend compared to those admitted on a weekday? Both related article and commentary published by the Emergency Medicine Journal are available here: http://emj.bmj.com/content/early/2016/10/27/emermed-2016-206049;

http://emj.bmj.com/content/early/2016/10/27/emermed-2016-206226.

October 2016’s Primary Survey

Fri, 14 Oct 2016 14:55:00 +0100

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.

September 2016’s Primary Survey

Wed, 21 Sep 2016 13:22:00 +0100

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

August 2016’s Primary Survey

Thu, 01 Sep 2016 17:37:00 +0100

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

June 2016’s Primary Survey

Thu, 09 Jun 2016 11:29:00 +0100

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.

May 2016’s Primary Survey

Tue, 17 May 2016 14:18:00 +0100

In this podcast Simon Carley discusses the highlights from May's issue of EMJ.

April 2016’s Primary Survey

Fri, 01 Apr 2016 12:24:00 +0100

In this podcast Simon Carley and Ellen Weber discuss the highlights from April's issue of EMJ focused on error.

March 2016’s Primary Survey

Wed, 24 Feb 2016 15:20:00 +0000

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

February 2016’s Primary Survey

Tue, 09 Feb 2016 12:57:00 +0000

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

Tanzanian emergency medicine exchange

Thu, 02 Jul 2015 12:15:00 +0100

Dr Ellen Weber talks to Dr Renatus Tarimo and Dr Shahzma Suleman from Dar es Salaam in Tanzania. This interview takes place as they complete their six week obsevation visit at the emergency departments of UCSF Medical Center and San Francisco General Hospital in San Francisco and they reflect on their visit and the differences in medical practice and education between the two countries.

How familiar are clinician team mates?

Wed, 15 Apr 2015 13:53:00 +0100

Lack of familiarity between teammates is linked to worsened safety in high risk settings. The emergency department (ED) is a high risk healthcare setting where unfamiliar teams are created by diversity in clinician shift schedules and flexibility in clinician movement across the department. Dr Ellen Weber speaks to Dr Daniel Patterson about his research to characterise familiarity between clinician teammates in one urban teaching hospital ED over a 22 week study period.

Read the full paper: http://emj.bmj.com/content/32/4/258.full?sid=f47dc6b9-deef-4a61-a77a-342ea713262b

February 2015’s primary survey

Mon, 02 Feb 2015 15:34:00 +0000

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

January 2015’s primary survey

Mon, 15 Dec 2014 11:25:00 +0000

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

December 2014’s primary survey

Thu, 11 Dec 2014 10:42:00 +0000

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

Not all suffering is pain

Wed, 10 Dec 2014 16:19:00 +0000

Provision of prompt, effective analgesia is rightly considered as a standard of care in the emergency department (ED). However, much suffering is not ‘painful’ and may be under-recognised.

A recent paper in EMJ looked to describe the burden of suffering in the ED and explore how this may be best addressed from a patient centred perspective. Ellen Weber talks to lead author Richard Body, Emergency Department Research Office, Manchester Royal Infirmary, to hear what they found.

Read the full paper:

http://goo.gl/kjs0x9

DRC to Dar: one physician’s journey to emergency medicine

Mon, 14 Jul 2014 16:55:00 +0100

Dr Mundenga Mutendi Muller is a young doctor from Kindu province in the Democratic Republic of Congo (DRC), currently training in the Emergency Medcine Residency at Muhimbili National Hospital in Dar es Salaam, Tanzania. He was interviewed in Dar es Salaam by Ellen Weber, EMJ Editor. This is an excerpt of their conversation.

An edit of the conversation is also available as a EMJ article: http://emj.bmj.com/content/31/8/611.full

Diagnosis by face

Mon, 16 Jun 2014 18:04:00 +0100

Clinicians use nonverbal cues from patients, including their facial expression content and variability, to make inferences about how ill a patient is. However the diagnostic accuracy of facial expressions as a method of physical diagnosis hasn't previously been scientifically examined.

Research just published in EMJ is the first to examine this question, and provides proof of concept that patients with serious cardiopulmonary disease processes manifest facial expressions with decreased variability and emotional content than patients with no serious cardiopulmonary diagnosis.

EMJ editor Ellen Weber discusses the findings with lead author Jeffrey Kline, professor in the Department of Emergency Medicine, Indiana University School of Medicine.

Read the full paper: http://goo.gl/MFvaxC

Solving the crisis in emergency medicine

Fri, 20 Dec 2013 11:52:00 +0000

Cliff Mann, president of the College of Emergency Medicine, discusses how the college and the HEE are going to tackle the five major challenges in emergency medicine.

The Wells scores for VTE

Tue, 23 Apr 2013 16:52:00 +0100

Our colleague Daniel Horner meets P Wells, a legendary figure in derivation of clinical prediction rules and author of the famous Wells scores for VTE. They discuss the difficulties in diagnosing VTE in pregnancy, the potential end of AVKs, and the future for VTE research.

Clinical decision rules: a meeting with Professor Ian Stiell

Tue, 23 Apr 2013 16:51:00 +0100

Dan Horner, a research fellow from Manchester, talks to the person behind the Ottawa ankle, knee and Canadian c-spine rules. Ian Stiell is a professor of Emergency Medicine, clinical epidemiologist and chair of Emergency Research at the University of Ottawa.

They discuss implementation of decision rules in emergency medicine, current projects in Ottawa, the benefits of aggressive emergency department management of atrial fibrillation, and the unpublished findings from the recent Resuscitation Outcomes Consortium investigators about compression depth in cardiopulmonary resuscitation.

Emergency medicine and the military

Tue, 23 Apr 2013 16:51:00 +0100

Janos P Baombe (EMJ associate editor) meets with Sir Keith Porter (professor in Clinical Traumatology at the University of Birmingham). They discuss the place of evidence based medicine in military care, lessons for civilian emergency medicine, the concepts of right turn resuscitation, damage control surgery, and consultant-delivered care in military emergency medicine.

Crew resource management with Nick Crombie

Tue, 23 Apr 2013 16:50:00 +0100

Janos P Baombe (EMJ associate editor) talks to Nick Crombie (consultant trauma, plastic and burns anaesthetist, Queen Elizabeth Hospital, Birmingham) about errors in medicine and the emerging field of crew resource management.

The College of Emergency Medicine

Tue, 23 Apr 2013 16:49:00 +0100

In this fifth episode of our podcast series Janos P Baombe (EMJ associate editor) meets with John Heyworth, immediate past president of the College of Emergency Medicine (CEM).

They discuss the issues around consultant-delivered clinical care, the acquisition of a new HQ, the bid for royal appellation and the issues faced by the specialty.

The future of career grade doctors in emergency medicine

Tue, 23 Apr 2013 16:48:00 +0100

In this fourth episode of our podcast series Janos P Baombe, EMJ associate editor, meets with Meng Aw-Yong, chair of FASSGEM (the Forum for Associate Specialist and Staff Grade Doctors in Emergency Medicine).

They discuss the future of career grade doctors within emergency medicine, their worryingly declining numbers, opportunities for development and the difficulties faced by the “lost tribe”.

EMJ rencontre EuSEM: l’expansion de la médecine d’urgences en Europe

Tue, 23 Apr 2013 16:47:00 +0100

Dans ce troisième épisode de notre série de podcasts, Janos P Baombe rencontre le Professeur Abdelouahab Bellou, président de la Société Européenne de Médecine d’Urgences (EuSEM). Ils discutent l’expansion de la médecine d’urgences à travers le continent, le projet d’un examen pan-européen et le futur de la société.

In this third episode of our podcast series, Janos P Baombe (EMJ associate editor) meets with Professor Abdelouahab Bellou, president of the European Society of Emergency Medicine (EuSEM). They discuss the expansion of this new specialty across the continent, the possibility of a pan-european exam and the future of the Society. The podcast is in French, but an English transcript is available http://bit.ly/q2cnju.

Advances in resuscitation

Tue, 23 Apr 2013 16:46:00 +0100

At the Emergency Medicine Trainees Association Annual Conference this April Jasmeet Soar, Chair of the Resuscitation Council UK, spoke about recent advances in resuscitation.

Janos P Baombe (EMJ associate editor) spoke to him about the issues he raised, including minimising hands-off time, the role of capnography, the importance of therapeutic hypothermia and the future of cardiopulmonary resuscitation (CPR).

A propos du retrait de soins thérapeutiques

Tue, 23 Apr 2013 16:45:00 +0100

Dans ce tout premier épisode d’une série de podcasts, Janos P Baombe (éditeur associé) interrroge Professeur Jean-Louis Vincent (Unité de Soins Intensifs, Hôpital Universitaire Erasme, Bruxelles, Belgique) à propos du retrait de soins thérapeutiques.

In this first episode of the podcast series, Janos P Baombe (associate editor, EMJ) interviews Professor Jean-Louis Vincent (Unité de Soins Intensifs, Erasmus University Hospital, Brussels) about withdrawing therapeutic intervention. This episode is produced in French, however an English transcript [http://bit.ly/15FlHK5] is available.