EMJ Podcast

Oct 31 2024 109 ep. 18 mins 17.4k
EMJ Podcast artwork

The Emergency Medicine Journal (EMJ) podcast is your premier source for the latest insights and developments in pre-hospital, hospital emergency medicine and critical care. Join the EMJ journal’s Deputy Editor and Social Media Editor each month as they discuss key highlights from the latest issue. EMJ - emj.bmj.com - is an international journal from the BMJ Group and the Royal College of Emergency Medicine (RCEM) covering developments and advances in emergency medicine and acute care. Stay informed with expert discussions and cutting-edge information by subscribing or listening on your favourite podcast platform. Podcast hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK * The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

  Health & Fitness
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Missing elbow fractures, and consulting the elders: November 2024 Primary Survey

Oct 31 2024 29 mins  
Upper limb injuries make up about three-quarters of the limb injuries to children seen in the emergency department. But when it comes to the elbow, just how good are clinicians at diagnosing based on radiography? The first paper this month is a study putting over 300 global participants to the test. There's also a practice review highlighting the concept of shared decision making w

Ranking anaesthesias for wrist fracture, and finding pneumothoraces with AI: October 2024 Primary Survey

Sep 30 2024 33 mins  
There's a whole pile of blocks in this month's papers, with the first being a trial of Erector-Spinae Plane (ESP) blocks, not for rib fractures as you might expect but Hepato-Pancreato-Biliary (HPB) pain instead. Following on from that is a retrospective study comparing the resource utilisation of haematoma blocks, Bier’s blocks and procedural sedation for patients with forearm f

Inducting new doctors, and managing rib fractures: September 2024 Primary Survey

Sep 04 2024 33 mins  
Being fallible was one of the most valued characteristics in a consultant, according to new doctors going through their induction - that's the subject of the first paper this month. Next up is a study on the impact of noise on hospital staff, which includes some simple interventions with measurable impact. There's also a discussion on pain relief for rib fractures, and how frailty

When to CT scan after a seizure, and indirect signs of appendicitis: August 2024 Primary Survey

Aug 02 2024 32 mins  
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 develope

Opioid toxicity, thrombectomy transfers, and austerity's impact: July 2024 Primary Survey

Jul 04 2024 26 mins  
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 auth

Patient self-perception, and presentations of headache: June 2024 Primary Survey

Jun 06 2024 32 mins  
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 o

Interventions for smoking cessation, AI CT scan triaging, and cyclic vomiting: May 2024 Primary Survey

May 09 2024 29 mins  
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 intelli

Suspicious chest pain, inequality in COVID outcomes, and staff retention problems: April 2024 Primary Survey

Apr 05 2024 30 mins  
“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

Aortic dissection, coroners' court, and age-related outcomes: March 2024 Primary Survey

Mar 03 2024 28 mins  
A feast of aortic papers this month, including a study on missed aortic dissection diagnoses and an analysis of coroners' reports. Rick runs through the findings of an interesting study from the Trainee Emergency Research Network (TERN), and Sarah finishes off with a paper on predicting adverse outcomes in elderly patients with orthopaedic trauma. Articles discussed in this episode

Trip killers, sympathetic crashing, and all sorts of sedatives: February 2024 Primary Survey

Jan 31 2024 28 mins  
There's a lot of drugs to be talked about this month, and a heap of randomised control trials to be covered too. Rick and Sarah talk though the combining of nitrous oxide and fentanyl for sedation, the environmental impact of analgesics, the efficacy of acute heart failure treatment with high-dose and low-dose nitrates, and more newly published work from the latest issue of the jou