EDGovCast Episode 15

Welcome back to the latest edition of ED GovCastThis month Lee, Jake and Helen discuss:-Asthma- changes to long term pharmacological treatment strategies in the latest BTS/ NICE/ SIGN guidancehttps://www.brit-thoracic.org.uk/clinical-resources/guidelines/asthma-chronic/-Acute Visual Disturbance- Giant Cell Arteritishttps://www.jrheum.org/content/53/Suppl_1/94.1-Neck deep space infection and diagnostic biases-Pharyngeal perforation presenting with signs of a threatened airway

EDGovCast returns after the summer break.This month Helen, Lee & Gareth discuss:Child sexual exploitation safeguardingToxbaseAndexanet Alpha- an antidote for Rivaroxaban & ApixabanBRASH syndromePaediatric Major Trauma and Radiology Imaging Guidelines for this patient group.Useful links below:https://www.nice.org.uk/guidance/ta697/chapter/1-Recommendationshttps://www.toxbase.org/login/?ReturnUrl=/https://www.jem-journal.com/article/S0736-4679(20)30399-1/fulltexthttps://www.rcr.ac.uk/our-services/all-our-publications/clinical-radiology-publications/major-paediatric-trauma-radiology-guidance/

Hosted by Gareth Davies, Helen Bates, Lee Barnicott and Jake Brown Topics include Clearing the C-spine in the trauma unit. The role of trauma bypass rules in trauma units.Euglycaemic DKA and the 'Flozins". RCEM safety alert.A Case of Guillain- Barre Syndrome (GBS).Aortic dissection...again! RCEM best practice guideline and the role the ADD-RS score.

ED GovCast returns following its Easter break!This time we discuss:-Paediatric Stroke-An example of a practical solution to the Stroke Thrombolysis pathway to improve availability of urgent thrombolytic therapy for patients requiring thrombolysis but not attending a hospital with a Hyper Acute Stroke Unit on site.-Neck Injuries associated with Head Injury-Bladder pathology following chronic Ketamine misuse-Phlegmasia Cerulea DolensLinks to Further Reading:Stroke in Childhood:https://www.rcpch.ac.uk/resources/stroke-in-childhood-clinical-guidelineHead & Neck InjuryNICE Head Injury Guidancehttps://www.nice.org.uk/guidance/ng232Ketamine Uropathy- British Association of Urological Surgeons consensus statement:https://bjui-journals.onlinelibrary.wiley.com/doi/10.1111/bju.16404

SVT in pregnancy 'Spiking"Asking about gamblingHypothermic cardiac arrest Paediatric tracheitis and 'making the airway safe'An unusual cause of headacheThe utility of the resus room

Episode 15!Content includes:-Chest trauma and the principles of analgesia.Paediatric prolonged seizure management.RCEM Safety flash around water beads.Another instalment of Dr Sarah Noble's quality quest.Major pelvic traumaThe usual collection of dad's jokes!

In our final show of 2024 recorded before Christmas we sum up the successes of the year and bring to you highlights from the PEM service along with another case of thoracic aortic dissection that highlighted the value of our supra-regional policy in managing these patients. We also discuss carotid artery dissection and a chest pain case along with an audit of ACP Radiology requesting, a QI project on head injuries in children. A snippet of outtakes as well as a scattering of (what were) seasonal jokes when we recorded this episode!Happy New Year!

In this episode we cover:Patients recording consultationsRecent changes to the UK death certification processRCEM's Green ED initiative and a case of acute pancreatitis.In our paediatric section we discuss the RCEM safety alert on handlebar injuries and learning from paediatric critical care cases- stabilisation of the sick child, double checking drug doses and burns.Finally we introduce part 1 of our new mini-series on quality improvement methodology "Quality Quest" brought to you by our colleague and QI expert Dr Sarah Noble.Hope you enjoy the show and as ever do let us know your thoughts about the podcast.

This month our paediatric section includes a metabolic case and we talk about information sharing required by section 47 of the Children's Act and we update on how Martha's Law is being implemented in our trust.In the adult section we discuss safeguarding adults where self neglect may be an issue, Acute Limb Ischaemia and Silver Trauma.British Inherited Metabolic Diseases Group: https://www.bimdg.org.uk/site/index.aspMartha's Rule: https://www.england.nhs.uk/patient-safety/marthas-rule/Self Neglect- Section 14 Care Act 2014: https://www.scie.org.uk/self-neglect/at-a-glance/Peripheral Arterial Disease: https://cks.nice.org.uk/topics/peripheral-arterial-disease/RCEM Silver Trauma Safety Alert: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://rcem.ac.uk/wp-content/uploads/2021/10/Safety_Alert_Silver-Trauma_2019.pdf

After a summer pause, we're back!Topics includeViolence and aggression in the EDPaediatric cardiac arrest debrief Paediatric sepsis screening Paediatric safeguarding and the 'shop floor curveball'Managing the complex patient in high acuity environments.POCUS and interdepartmental transfer 'the patient is in the wrong hospital'Acute closed angle glaucoma More eyes including lateral canthotomy