Another episode of all things ED governance and education.

Topics covered include, life threatening asthma, venous sinus thrombosis and neutropenic sepsis. 

Hypertension emergencies, rib fracture management, management of misplaced central lines. 

Cauda equina syndrome, diagnosis and management. 

Some paediatric cases including post tonsillectomy bleeds and head injuires.

References :

Management of hypertensive crisis: British and Irish Hypertension Society Position document | Journal of Human Hypertension (nature.com)

National-Suspected-Cauda-Equina-Pathway-UPDATED-V2-October-2023.pdf (gettingitrightfirsttime.co.uk)

Emergency Medicine governance and eduation podcast 

A look back at 12 months of wonderful clinical cases.

Topics covered :- 

A new hypertension guideline.

POCUS in PE and Aortic dissection.

Ruptured arachnoid cyst.

Necrotising faciiitis.

Massive upper GI bleed.

Paediatric acute torticollis.

Empyema. 

Post op complications.

And ofcourse the finest christmas jokes available. 

Merry christmas and enjoy!

Happy New Year!

2024's first episode includes

Time critical medications.

Drug concealment 'Body Stuffer'

Management of STEMI

Aortic dissection

Blunt abdominal trauma 

Paediatric meningitis

Our 6 month anniversary episode ! 

Hosted by Dr's Helen Bates, Lee Barnicott and Gareth Davies

Topics include:

Extravasation

Ultrasound in chest trauma - call in with specialty doctor and ultrasound guru Dr Muhammad Hamada (Haleem)

Decompensation of Chronic liver disease

Bacterial meningitis 

Kawasaki disease

Measles

Paediatric foreign body ingestion - specifically magnets

Hosted by Gareth Davies, Lee Barnicott and Helen Bates.

Topics include :-

Human factors around simultaneous high acuity patients in the resus room. In this case multiple cardiac arrests. 

Refractory VF management.

Subtle STEMI remotely presented by Dr Umer Uqaili, EM SPR.

Post thrombolysis complications specifically rectus sheath haematoma.

Basilar thrombus occlusion.

Paediatric safeguarding discussion

Hosted by Gareth Davies, Lee Barnicott & Helen Bates

This month's episode has a limb injury theme.

Cases covered include:

Shoulder Dislocation

Knee Dislocation

Major Trauma outside of MTCs

We introduce a new segment on different aspects of Governance Frameworks- this month we cover "The Risk Register"

Quality Improvement

And we introduce our new collaboration with Dr Hesham Ibrahim and  the "From Zero to Hero" website

Episode 9!

Hosted by Dr's Gareth Davies, Helen Bates and Lee Barnicott.

Show note are a work in progress but will be available on EDGovCast main page | From Zero To Hero

Topics include :-

How to deal with complaints.

Quality improvement project by Dr Frankie Hughes about paediatric self discharge.

Management of paediatric mental health.

Cuffed ET tubes in children.

Hyperkalaemia management and preventing hypoglycaemia.

Approach to pneumothorax.

Knee injuries and xray interpretation.

Any comments of suggestions contact us at edgovcast@gmail.com

Helen couldn't make it this month, therefore Jake Brown to the rescue!

Topics include, paediatric forearm fractures

Back pain presentations - spotting the pitfalls and zebras

3rd nerve palsy

When it's not a DVT...

And lots more

After a summer pause, we're back!

Topics include

Violence and aggression in the ED

Paediatric 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

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.asp

Martha'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

In this episode we cover:

Patients recording consultations

Recent changes to the UK death certification process

RCEM's Green ED initiative and a case of acute pancreatitis.

In our paediatric section we discuss the RCEM safety alert on handlebar injuries and learning from paediatric critical care cases- stabilisation of the sick child, double checking drug doses and burns.

Finally we introduce part 1 of our new mini-series on quality improvement methodology "Quality Quest" brought to you by our colleague and QI expert Dr Sarah Noble.

Hope you enjoy the show and as ever do let us know your thoughts about the podcast.

In 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!

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 trauma

The usual collection of dad's jokes!

SVT in pregnancy

'Spiking"

Asking about gambling

Hypothermic cardiac arrest

Paediatric tracheitis and 'making the airway safe'

An unusual cause of headache

The utility of the resus room

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 Dolens

Links to Further Reading:

Stroke in Childhood:

https://www.rcpch.ac.uk/resources/stroke-in-childhood-clinical-guideline

Head & Neck Injury

NICE Head Injury Guidance

https://www.nice.org.uk/guidance/ng232

Ketamine Uropathy- British Association of Urological Surgeons consensus statement:

https://bjui-journals.onlinelibrary.wiley.com/doi/10.1111/bju.16404

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.

EDGovCast returns after the summer break.

This month Helen, Lee & Gareth discuss:

Child sexual exploitation safeguarding

Toxbase

Andexanet Alpha- an antidote for Rivaroxaban & Apixaban

BRASH syndrome

Paediatric Major Trauma and Radiology Imaging Guidelines for this patient group.

Useful links below:

https://www.nice.org.uk/guidance/ta697/chapter/1-Recommendations

https://www.toxbase.org/login/?ReturnUrl=/

https://www.jem-journal.com/article/S0736-4679(20)30399-1/fulltext

https://www.rcr.ac.uk/our-services/all-our-publications/clinical-radiology-publications/major-paediatric-trauma-radiology-guidance/