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.

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)

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!

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)

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!

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)

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!

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!

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!

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!

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!

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!

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!

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.

 

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!

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!

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!

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).

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).

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).

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).

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).

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!

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!

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.

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

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

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

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

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

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

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

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

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.

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

“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.

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.

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.

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.

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

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

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

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

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

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.