EMJ Podcast – Details, episodes & analysis

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.

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.

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)

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!

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.

See also:

Human factors and error prevention in emergency medicine http://bit.ly/17g7fXd

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.

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”.

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.

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).

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.

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)

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!