RCEM Learning

Happy March! This month for the March 2025 episode of the RCEM Learning Podcast starts with an update from Rob. We have Andy and Dave talking about oxygen targets in trauma in the TRAUMOX2 RCT. Becky and Chris talk about a BOAST orthopaedic guideline for the management of lateral patella dislocation. We interview Raine Astin-Chamberlain about sex, gender and pregnancy in research and then finally, as always, New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (02:26) New in EM - Oxygen targets in trauma Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Randomized Clinical Trial (Arleth et al., 2025) (18:59) Guidelines for EM - BOAST guidelines for lateral patella dislocation BOAST - Assessment and Management of First Time Lateral Patellar Dislocation (FTLPD) (BOAST, 2024) (45:09) Sex, gender and pregnancy in research - Raine Astin-Chamberlain Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review (Astin-Chamberlain et al., 2025) (01:03:37) New Online – new articles on RCEMLearning for your CPD Psychological support in the ED - Charlotte Davies Beyond the Tick Box - Embracing Reflective Practice - Chris Walsh Foreign Bodies in Ears and Noses: Practi cal Tips for ED Management - Charlotte Davies and Olu Adenugba Retaining ED staff: Policy, practice and research perspectives Retaining ED staff: Policy, practice and research perspectives - book your tickets

Happy Valentine's Day! This month for the February 2025 episode of the RCEM Learning Podcast, we have got a new in EM segments looking at the assessment of PE in younger patients. Becky and Chris detail a guideline on acute adrenal insufficiency, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! Buy tickets to the EMTA Conference in Bristol, February 26 & 27! (03:06) New in EM - Using the PERC-35 Rule for PE Failure rate of the pulmonary embolism rule-out criteria rule for adults 35 years or younger: Findings from the RIETE Registry (Jossein et al., 2024) Age and sex-dependent trends in pulmonary embolism testing and derivation of a clinical decision rule for young patients (Mongan et al., 2015) (22:35) Guidelines for EM - Glucocorticoid-induced adrenal insufficiency European Society of Endocrinology and Endocrine Society Joint Clinical Guideline: Diagnosis and therapy of glucocorticoid-induced adrenal insufficiency (ESE & ESJ, 2024) (01:04:32) New Online – new articles on RCEMLearning for your CPD How to Nail Your Consultant Interview - Hannah Bell Assessing (de)Hydration in Children - Nikki Abela Medical Assessment of the Pregnant Patient in the Emergency Department - Charlotte Davies, Mark Chester

Happy New Year! This month for the January 2025 episode of the RCEM Learning Podcast, we have got two new in EM segments looking at staff turnover and mortality and the assessment of febrile infants. Becky and Chris detail a guideline on acute kidney injury, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! Buy tickets to the EMTA Conference in Bristol, February 26 & 27! (03:55) New in EM - Staff turnover and mortality Nurse and doctor turnover and patient outcomes in NHS acute trusts in England: retrospective longitudinal study (Moscelli et al., 2024), PDF (20:03) Guidelines for EM - NICE Guidelines on Acute Kidney Injury Acute kidney injury: prevention, detection and management (NICE, 2024), PDF (59:36) New in EM - Assessment of febrile infants Performance of clinical decision aids (CDA) for the care of young febrile infants: a multicentre prospective cohort study conducted in the UK and Ireland (Umana et al., 2024), PDF Optimizing Management of Febrile Young Infants Without Serum Procalcitonin (Burstein et al., 2025), PDF (01:17:19) New Online – new articles on RCEMLearning for your CPD Vasopressors - Alasdair Munro, Simin Nikou, Charlotte Davies The Limping Child, by Charlotte Davies and Nikki Abela Testicular Pain, by Kellie Bateman

Merry Christmas! This month for the December 2024 episode of the RCEM Learning Podcast, we have got a new in EM segment looking at the surgical management of haemorrhagic stroke. Becky and Chris talk gift us with a big discussion around the management of pain in the ED. Rob talks to Laura Howard and Gregory Yates about reviving the BestBETS project, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (04:29) New in EM - Surgery for haemorrhagic stroke Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage (Pradilla et al., 2024) (15:45) Guidelines for EM - RCEM Management of Acute Pain in Adults in the ED RCEM Management of Acute Pain in Adults in the ED (RCEM, 2024) (01:12:43) Laura Howard and Gregory Yates - BestBETs BestBETs Get Involved with BestBETs (Email link) Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure? (Yates & Williams, EMJ, 2024) (01:23:20) New Online – new articles on RCEMLearning for your CPD The Forgotten Tribe - Lauren Fraser and Michelle Jacobs Surgical Management of Acute Wounds in the ED - Olajide Kamal Badmus, Riad Hosein Curriculum Cup (Respiratory) - RCEMLearning

This month for the November 2023 episode of the RCEM Learning Podcast we're focusing on the RCEM ASC. Rob and Liz talk through their favourite talks from the conference and then we move on to our RCEM ASC Interview Megamix where I speak with thirteen presenters about their work from the RCEM ASC. This is going to be a mix of paediatric and adult EM, so feel free to have a look at the timestamps if you want to get to the stuff that is most relevant to you - I'd recommend you listen to it all! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! Submit an abstract to the EMTA Conference EMTA Conference 2025 - Bristol, 26-27th February 2025 Submit an abstract here (direct link) by 27th November (07:54) RCEM ASC Interview Megamix (07:54) Cath Taylor - Using livestreaming phones in the ambulance service (17:10) Phil Cowburn - The Major Incident Ten Second Triage Tool (23:25) Mark Macmillan - Whole-body CT scanning in older injured patients (29:42) Leilah Dare - Using GIRFT data to implement change (38:10) Ben Clarke - TERN Update and the UnCORKED study (49:38) Alison Porter - Using qualitative research in emergency medicine (58:10) Christopher Humphries - Cannabinoids and tailoring your anti-emetic selection (01:05:42) Steve Goodacre - Diagnosing acute aortic syndrome and the ASES study (01:10:57) Tom Waterfield - PERUKI Update (01:20:18) Shrouk Messahel - CRESCENT Study (01:29:16) Damian Roland - Bronchstart, bronchiolitis, and vaccination (01:39:34) Dave McCreary - Introducing a culture of paediatric point of care ultrasonography (01:50:10) Emma Lim - Spotting Sepsis in the PED Further Links and Reading Cath Taylor - The SEE-IT Trial: emergency medical services Streaming Enabled Evaluation In Trauma: a feasibility randomised controlled trial Phil Cowburn - National Ambulance Resilience Tool - Ten Second Triage Leilah Dare - Getting It Right Time - SEDIT Ben Clarke - TERN Research Ben Clarke - TERN UNCORKED Expression of Interest Form Christopher Humphries - RCEM Guideline - Suspected Cannabinoid Hyperemesis Syndrome in Emergency Departments Steve Goodacre - The ASES Study Tom Waterfield - PERUKI Shrouk Messahel - The CRESCENT Trial Damian Roland - Bronchstart David McCreary - ResearchGate Emma Lim - RCPCH Paediatric Sepsis Podcasts Emma Lim - Lancet Paediatric Sepsis Series

Happy October! This month for the October 2024 episode of the RCEM Learning Podcast, We have got two new in EM segments looking at the use of peripheral hypertonic saline and defibrillation strategies in refractory VF. Rob and I will then be discussing the RCEM Toolkit for caring with patients with learning disability. Rob then talks to the EM at the Deep End team, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (02:52) New in EM - Peripheral use of hypertonic saline Safety and Effect on Intracranial Pressure of 3% Hypertonic Saline Bolus Via Peripheral Intravenous Catheter for Neurological Emergencies (Khasiyev et al., 2024) (14:33) Guidelines for EM - RCEM Learning Disabilities Toolkit Learning Disabilities Toolkit (RCEM, 2024) (39:10) EM at the Deep End Open Teams Meeting to EM at the Deep End - 4th October 2024 13:30 EM at the Deep End (55:46) New in EM - Defibrillation strategies in refractory ventricular fibrillation Defibrillation Strategies for Refractory Ventricular Fibrillation (Cheskes et al., 2024) - link to the paper coming soon (01:10:31) New Online – new articles on RCEMLearning for your CPD Coughing, wheezy, and stridulous children - Edward Snelson Hypertensive Disorders in Pregnancy… HELLP! - Jenni Cooper, Naomi Primrose Frailty-associated pneumonia - David G Smithard

Happy September! This month for the September 2024 episode of the RCEM Learning Podcast, we have a new in EM section looking at the use of NIV for preoxygenation in RSI. We then have Becky and Chris going over a new Guidelines for EM looking at the NICE Guidelines for meningitis. Rob puts on his TERN hat and speaks to the two former TERN Fellows and Dan Horner about the results of the Subarachnoid Haemorrhage in the ED Study before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (02:30) New in EM - NIV for preoxygenation in RSI Noninvasive Ventilation for Preoxygenation during Emergency Intubation (Gibbs et al., 2024) (20:47) Guidelines for EM - NICE Guidance for Meningitis Meningitis (bacterial) and meningococcal disease: recognition, diagnosis and management (NICE, 2024) (01:05:00) The TERN SHED Study - 36:30 Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study (The Trainee Emergency Research Network, 2004) - link to the paper coming soon The TERN Website TERN on Twitter/X (01:41:35) New Online – new articles on RCEMLearning for your CPD Training for Research in Emergency Care (TREC) - The TREC Team Delivering Bad News - Charlotte Davies Ocular trauma - Deepa Elsa George, Sophie Seguin-Greenstein

Happy August! This month for the August 2024 episode of the RCEM Learning Podcast, we have two new in EM sections looking at the use of high flow nasal cannula vs. NIV for COPD and clinical gestalt for predicting sepsis. We then have Becky and Chris going over a new Guidelines for EM looking at opioid toxicity before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (03:21) New in EM - High-flow nasal cannula vs. NIV for COPD High flow nasal cannula oxygen therapy versus non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease with acute-moderate hypercapnic respiratory failure: a randomized controlled non-inferiority trial (Tan et al., 2024) Probing the efficacy of high-flow nasal cannula in the treatment of acute exacerbations of COPD with acute-moderate hypercapnic respiratory failure (Pantazopoulos and Mavrovouni, 2024) (19:19) Guidelines for EM - RCEM and NPIS Opioid Toxicity RCEM and NPIS - Guideline for the Assessment and Management of Acute Opioid Toxicity in Adults in the Emergency Department (PDF) (RCEM & NPIS, 2024) (54:26) New in EM - Clinical Gestalt for Predicting Sepsis Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients (Knack et al., 2024) (01:06:35) New Online – new articles on RCEMLearning for your CPD PEM and Ex-Prems - Katie Knight Curriculum Cup (Infectious Disease) - RCEMLearning) Induction - RCEMLearning

Happy July! This month for the July 2024 episode of the RCEM Learning Podcast, Rob and Liz do two New in EM papers looking at performance of febrile infant algorithms by duration of fever and the use of Resorbable vs Non-Resorbable sutures in facial laceration repair. We complete the second part of our two-part Guidelines for EM looking at sickle cell disease before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (03:16) New in EM - Blood biomarkers and algorithms and fever duration in febrile infants Performance of Febrile Infant Algorithms by Duration of Fever (Velasco et al., 2024) (13:34) Guidelines for EM - RCEM Sickle Cell Disease RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024) Sickle Cell Society - No One's Listening (35:51) New in EM - A Randomised Controlled Trial Of Resorbable vs Non-Resorbable Sutures For Lacerations Of The Face (TORN Face) Randomised controlled trial of resorbable versus non-resorbable sutures for lacerations of the face (TORN Face) (Basyuni et al., 2024) (55:05) New Online – new articles on RCEMLearning for your CPD Things I wish I’d learnt before Emergency Medicine and Parenthood - Charlotte Mitchell Pertussis - Nikki Abela Improving Culture – Change Begins with Me - Thomas Bannister

Happy June! This month for the June 2024 episode of the RCEM Learning Podcast, Rob and Liz talk us through a New in EM section on nailbed repair in paediatric finger bed injury. We have the first in a two-parter on Sickle Cell Disease in our Guidelines for EM section and then Rob speaks with Chris Bretheron and Hamez Gacefari about the James Lind Alliance Priority Setting Partnership for Major Trauma. We then end with New Online. If you'd like to email us, please feel free to do so here. (05:32) New in EM - Nailbed repair in paediatric finger injuries Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial (Jain et al., 2024) (21:16) Guidelines for EM - RCEM Sickle Cell Disease RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024) Sickle Cell Society - No One's Listening (55:50) Interview with Chris Bretheron and Hamez Gacefari (James Lind Alliance Priority Setting Partnership for Major Trauma) Research priorities for the management of major trauma: an international priority setting partnership with the James Lind Alliance (Bretherton et al., 2024) James Lind Alliance Priority Setting Partnership for Major Trauma (01:11:01) New Online – new articles on RCEMLearning for your CPD Sudden Visual Loss - Daniel Horner Information Sharing to tackle Community Violence - Adrian Boyle Cardiac arrest in the pregnant patient - Charlotte Davies, Sophie Windsor