EMJ Podcast

1. It’s OK to feel uncertain as a new consultant

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

Sep 01,2023 32:22

2. Escalation decisions during COVID, and predicting occult scaphoid fractures: August 2023 Primary Survey

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/40/8/539The EMJ podcast is hosted by:Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)Dr. Sarah

Aug 01,2023 29:24

3. IV paracetamol trumps opiates, managing prehospital self-harm, and empowering waiting patients: July 2023 Primary Survey

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/40/7/471The EMJ podcast is hosted by:Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)Dr. Sarah Edwards, EMJ Social Med

Jul 03,2023 30:10

4. Primary Survey - the highlights of June 2023

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/40/6/393You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts,

Jun 02,2023 30:56

5. Primary Survey - the highlights of May 2023

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/40/5/317You can subscribe to the EMJ podcast via all podcast pla

Apr 26,2023 28:59

6. Primary Survey - the highlights of April 2023

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 E

Mar 29,2023 32:01

7. Primary Survey - the highlights of March 2023

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/40/3/157You can subscrib

Feb 27,2023 29:06

8. Primary Survey - the highlights of February 2023

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

Jan 31,2023 29:07

9. Primary Survey - the highlights of January 2023

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 thromboem

Jan 12,2023 25:57

10. Primary Survey - the highlights of December 2022

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/

Nov 28,2022 27:56

11. Primary Survey - the highlights of November 2022

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

Oct 31,2022 29:54

12. Primary Survey - the highlights of October 2022

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/39/10/723You can subscribe to the EMJ podcast v

Sep 28,2022 30:22

13. Primary Survey - the highlights of September 2022

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 fasc

Sep 14,2022 27:22

14. Primary Survey - the highlights of August 2022

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

Aug 31,2022 36:45

15. Primary Survey - the highlights of July 2022

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/39/7/491If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://.com/us/podc

Aug 19,2022 42:33

16. Primary Survey - the highlights of May 2022

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: http

May 20,2022 36:26

17. Primary Survey - the highlights of April 2022 in 30 minutes!

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

Apr 27,2022 29:10

18. Primary Survey - the highlights of March 2022, including MUST READ papers on ED exit block

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

Mar 08,2022 31:53

19. Primary Survey - the February 2022 issue in just over 30 minutes!

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 (htt

Jan 20,2022 33:19

20. Primary Survey - the January 2022 issue in 30 minutes!

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/39/1/1Details 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/39/1/3Heterogeneity of reasons for attendance in frequent attenders of e

Jan 06,2022 30:11

21. Primary Survey - the highlights of December 2021

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/38/12/867Details 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/38/12/889We Need to Talk About Codeine: an Implementation Study to reduce the number of Emergenc

Nov 25,2021 12:37

22. Primary Survey - the highlights of August 2021

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

Jul 19,2021 10:38

23. Primary Survey - the highlights of June 2021

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/38/6/407Emergency 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, Stephe

Jun 15,2021 08:50

24. Primary Survey - the highlights of April 2021

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/38/4/249Environmentally 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/38/4/252S100B protein

Apr 14,2021 11:08

25. Primary Survey - the highlights of February 2021

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/38/2/87Post-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/38/2/88Diagnostic accuracy of point-of-care lung ultrasound in COVID-19 http

Feb 08,2021 11:59

26. Primary Survey - the highlights of November 2020

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/37/11/657Details 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

Nov 11,2020 09:21

27. Primary Survey - the highlights of October 2020

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/37/10/593Details 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

Oct 29,2020 11:03

28. GECCo - sharing in global health for everyone

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 fellowshttps://emj.bmj.com/content/36/4/255 - Emer

Oct 07,2020 19:49

29. Primary Survey - the highlights of August 2020

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/37/7/395Details 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/37/8/508I-FiBH trial: intravenous fluids in benign headaches—a randomised, single-blinded

Aug 11,2020 08:16

30. Can COVID-19 be an opportunity for the future of Emergency Departments?

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:

Jul 30,2020 24:05

31. Primary Survey: the highlights of July 2020

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/37/7/395Details 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 departm

Jul 22,2020 09:07

32. Primary Survey: the highlights of June 2020

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

Jun 15,2020 08:40

33. Primary Survey: the highlights of May 2020

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/37/5/249Details 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/20/6/501Views and experiences of nurses in providing end-of-life care t

May 20,2020 15:17

34. Primary Survey: the highlights of April 2020

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/37/4/177Impact 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/37/4/178Emergenc

Apr 15,2020 12:49

35. Covid-19 challenges in a Singapore paediatric emergency department

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-2020-209

Apr 03,2020 31:10

36. Primary Survey: the highlights of March 2020

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 h

Mar 16,2020 11:06

37. Primary Survey: the highlights of February 2020

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 elder

Mar 12,2020 10:07

38. BMJ Emergency Medicine Award: the HECTOR project

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.

Jan 09,2020 15:45

39. Primary Survey: the highlights of January 2020

Simon Carley, Associate Editor of EMJ, talks through his highlights of the January 2020 edition of the Emergency Medicine Journal.Read the primary survey here - emj.bmj.com/content/37/1Details of the papers mentioned in this podcast can be found below:Comparison of four decision aids for the early diagnosis of acute coronary syndromes in the emergency department https://emj.bmj.com/content/37/1/8 The incidence of airway haemorrhage in manual versus mechanical cardiopulmonary resuscitation https:

Jan 07,2020 13:05

40. Primary Survey: the highlights of October 2019

Simon Carley, Associate Editor of EMJ, talks through his highlights of the October 2019 edition of the Emergency Medicine Journal.Patients don’t have language barriers; the healthcare system does - https://emj.bmj.com/content/36/10/580 Observational study to understand interpreter service use in emergency medicine: why the key may lie outside of the initial provider assessment - Editor's Choice - https://emj.bmj.com/content/36/10/582 Framing of clinical information affects physicians’ diagnosti

Oct 02,2019 12:06

41. Primary Survey: the highlights of September 2019

Simon Carley, Associate Editor of EMJ, talks through his highlights of the September 2019 edition of the Emergency Medicine Journal.Read the primary survey here - https://emj.bmj.com/content/36/9/517Details of the papers mentioned in this podcast can be found below:The Panoramic Dental Radiograph for Emergency Physicians - https://emj.bmj.com/content/36/9/565Exploring the characteristics, acuity and management of adult ED patients at night-time - https://emj.bmj.com/content/36/9/554Evaluation o

Aug 23,2019 13:03

42. Primary Survey: the highlights of August 2019

Simon Carley, Associate Editor of EMJ, talks through his highlights of the August 2019 edition of the Emergency Medicine Journal.Read the primary survey here - emj.bmj.com/content/36/8/451Details of the papers mentioned in this podcast can be found below:First responder communication in CBRN environments: FIRCOM-CBRN study - https://emj.bmj.com/content/36/8/456Impact of emergency physician experience on decision-making in patients with suspected community-acquired pneumonia and undergoing syste

Aug 06,2019 13:07

43. Primary Survey: the highlights of July 2019

Simon Carley, Associate Editor of EMJ, talks through his highlights of the July 2019 edition of the Emergency Medicine Journal.Read the primary survey here - https://emj.bmj.com/content/36/7/385Details of the papers mentioned in this podcast can be found below:Epidemiology of traumatic injuries presenting to an ED in Central Haiti: a retrospective cohort study - https://emj.bmj.com/content/36/7/389 Prehospital tranexamic acid shortens the interval to administration by half in Major Trauma Networ

Jul 25,2019 13:13

44. Primary Survey: the highlights of June 2019

Simon Carley, Associate Editor of EMJ, talks through his highlights of the June 2019 edition of the Emergency Medicine Journal.Read the primary survey here - https://emj.bmj.com/content/36/6/324Details of the papers mentioned in this podcast can be found below:Measurement and improvement of emergency department performance through inspection and rating: an observational study of emergency departments in acute hospitals in England - https://emj.bmj.com/content/early/2019/04/10/emermed-2018-207941

May 21,2019 09:01

45. Primary Survey: the highlights of May 2019

Simon Carley, Associate Editor of EMJ, talks through his highlights of the May 2019 edition of the Emergency Medicine Journal.Read the primary survey here - emj.bmj.com/content/36/5/257Details of the papers mentioned in this podcast can be found below:Could this be Measles? - https://emj.bmj.com/content/36/5/310 Randomised controlled trial of simulation-based education for mechanical cardiopulmonary resuscitation training - https://emj.bmj.com/content/36/5/266 Preferred learning modalities and p

May 03,2019 10:52

46. Taking the stage: a development programme for women speakers in emergency medicine

The Speaker Development Programme (SDP) is a prize-winning year-long curriculum aimed at developing women speakers as a step on the journey towards academic recognition. Editor-in-Chief of the Emergency Medicine Journal Professor Ellen Weber talks to Dr Dara Kass, the founder of this program. They also discuss the project FemInEm, an organisation dedicated to gender equity in emergency medicine.Read the related article on the EMJ website: (https://emj.bmj.com/content/early/2019/01/10/emermed-201

Feb 28,2019 17:32

47. Primary Survey: the highlights of February 2019

Simon Carley, Associate Editor of EMJ, talks through the highlights of the February 2019 edition of the Emergency Medicine Journal.Read the primary survey here - emj.bmj.com/content/36/2/63Details of the papers mentioned in this podcast can be found below:A simple clinical assessment is superior to systematic triage in prediction of mortality in the emergency department - emj.bmj.com/content/36/2/66A systematic review examining the impact of redirecting low-acuity patients seeking emergency depa

Jan 29,2019 12:33

48. Primary Survey: the highlights of January 2019

Simon Carley, Associate Editor of EMJ, talks through the highlights of the January 2019 edition of the Emergency Medicine Journal, this month, chosen by Editor-in-Chief Ellen Weber.Read the primary survey here: emj.bmj.com/content/36/1/1.Details of the papers mentioned in this podcast can be found below:The view from here: on the other side of the curtain - emj.bmj.com/content/36/1/52Accuracy of NEXUS II head injury decision rule in children: a prospective PREDICT cohort study - emj.bmj.com/cont

Jan 10,2019 10:13

49. Primary Survey: the highlights of December 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the December 2018 edition of the Emergency Medicine Journal, this month, chosen by Associate Editor Mary Dawood.Read the primary survey here: emj.bmj.com/content/35/12/719Details of the papers mentioned in this podcast can be found below:Evaluation of the provision of helicopter emergency medical services in Europe - emj.bmj.com/content/35/12/720 Heart failure and palliative care in the emergency department - emj.bmj.com/cont

Dec 11,2018 09:45

50. Primary Survey: the highlights of November 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the November 2018 edition of the Emergency Medicine Journal, this month chosen by Associate Editor Professor Rick Body.Read the primary survey here: emj.bmj.com/content/35/11/651Details of the papers mentioned in this podcast can be found below: Managing accidental hypothermia: a UK-wide survey of prehospital and search and rescue providers - emj.bmj.com/content/35/11/652 Managing accidental hypothermia: progress but still so

Dec 04,2018 09:46

51. More evidence needed to divert patients from emergency departments

The systematic review discussed in this podcast outlines inconclusive evidence for the effectiveness of diversion strategies on emergency department use and healthcare utilisation.Dr Brian Rowe, from the Department of Emergency Medicine, University of Alberta, Canada, tells Editor-in-Chief of EMJ Professor Ellen Weber other strategies are needed to address ED overcrowding.Read the paper at http://emj.bmj.com/lookup/doi/10.1136/emermed-2017-207045.Related articles:The patient’s dilemma: attending

Nov 15,2018 12:05

52. Primary Survey: the highlights of August 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2018 edition of the Emergency Medicine Journal.Read the primary survey here: emj.bmj.com/content/35/8/461Details of the papers mentioned in this podcast can be found below:Fluid therapy in the emergency department: an expert practice review - emj.bmj.com/content/35/8/511Intravenous cefazolin plus oral probenecid versus oral cephalexin for the treatment of skin and soft tissue infections: a double-blind, non-inferio

Jul 30,2018 11:13

53. Primary Survey: the highlights of July 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the July 2018 edition of the Emergency Medicine Journal, this month, chosen by Deputy Editor, Ian K Maconochie.Read the primary survey here: emj.bmj.com/content/35/7/403Details of the papers mentioned in this podcast can be found below:Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey - emj.bmj.com/content/35/7/406Effects of hallway/corridor and companions on clinic

Jul 20,2018 10:45

54. Primary Survey: the highlights of June 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2018 edition of the Emergency Medicine Journal, this month, chosen by Associate Editor, Edward Carlton.Read the primary survey here: emj.bmj.com/content/35/6/341Details of the papers mentioned in this podcast can be found below:Editor's choice: Comparison of qSOFA with current emergency department tools for screening of patients with sepsis for critical illness - emj.bmj.com/content/35/6/350Editor's choice: qSOFA, SI

Jul 17,2018 09:19

55. Primary Survey: the highlights of May 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the May 2018 edition of the Emergency Medicine Journal, this month, chosen by our Associate Editor, Caroline Leech.Read the primary survey here: emj.bmj.com/content/35/5/279Details of the papers mentioned in this podcast can be found below:Editor's choice: Lack of efficacy in a randomised trial of a brief intervention to reduce drug use and increase drug treatment services utilisation among adult emergency department patients

Jun 29,2018 12:26

56. March 2018: celebrating 50 years of Emergency Medicine in the UK

Richard Body, EMJ Deputy Editor, and Simon Carley, EMJ Associate Editor, talk through the highlights of the March 2018 edition of the journal, celebrating 50 years of the UK's Emergency Medicine. It is a special podcast presenting a collection of amazing articles that tell the story of where we have come from, where we are and where we are going. It's not all opinion though. We have some fantastic papers this month including an RCT on the use of ice to reduce the pain of laceration repair (Intra

Feb 16,2018 18:20

57. Primary Survey: the highlights of February 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the February 2018 edition of the Emergency Medicine Journal, this month, picked by Simon himself.Read the primary survey here: http://emj.bmj.com/content/35/2/73Details of the papers mentioned in this podcast can be found below:Understanding cardiac troponin part 1: avoiding troponinitis - http://emj.bmj.com/content/35/2/120Calculating the proportion of avoidable attendances at UK emergency departments: analysis of the Royal

Jan 30,2018 16:21

58. Primary Survey: the highlights of January 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the January 2018 edition of the Emergency Medicine Journal, this month, picked by Ellen Webber (Editor-in-Chief, University of California, San Francisco, USA).Read the primary survey here: http://emj.bmj.com/content/35/1/1.Details of the papers mentioned in this podcast can be found below:Impact of Physician Navigators on productivity indicators in the ED - http://emj.bmj.com/content/35/1/5Tackling the demand for emergency de

Jan 11,2018 15:07

59. Primary Survey: the highlights of the October 2017 issue of the Emergency Medicine Journal

Simon Carley, Associate Editor of EMJ, talks through the highlights of the October 2017 edition of the Emergency Medicine Journal, this month, picked by Richard Body (Emergency Department, Manchester Royal Infirmary, Manchester, UK).Read the primary survey: http://emj.bmj.com/content/34/10/633.Details of the papers mentioned in this podcast can be found below:The use of whole-body computed tomography in major trauma: variations in practice in UK trauma hospitals - http://emj.bmj.com/content/34/1

Oct 24,2017 07:28

60. August 2017’s Primary Survey

Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2017 edition of the Emergency Medicine Journal.Read the primary survey here: emj.bmj.com/content/34/8/491Details of the papers mentioned on this podcast can be found below:Clinical relevance of pharmacist intervention in an emergency department - emj.bmj.com/content/34/8/495Developing a decision rule to optimise clinical pharmacist resources for medication reconciliation in the emergency department - emj.bmj.com/co

Aug 10,2017 17:59

61. July 2017’s Primary Survey

Simon Carley, Associate Editor of EMJ, talks through the highlights of the July 2017 edition of the Emergency Medicine Journal.Read the primary survey here: http://emj.bmj.com/content/34/7/427Details of the papers mentioned on this podcast can be found below:The key to resilient individuals is to build resilient and adaptive systems - http://emj.bmj.com/content/34/7/428Emergency medicine: what keeps me, what might lose me? A narrative study of consultant views in Wales - http://emj.bmj.com/conte

Jul 13,2017 12:26

62. June 2017’s Primary Survey

Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2017 edition of the Emergency Medicine Journal, starting with T-MACS, ROC curves, the demand for mental health care in emergency medicine, pain scales for children and more.Read the primary survey here: http://emj.bmj.com/content/34/6/347Details of the papers mentioned on this podcast can be found below:Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision aid: single biomarker re-derivation and externa

Jun 16,2017 10:24

63. May 2017’s Primary Survey

Simon Carley, Associate Editor of EMJ, talks through the highlights of the May 2017 edition of the Emergency Medicine Journal, starting with pregnancy problems: the management of severely injured or ill pregnant patients.Read the primary survey here: http://emj.bmj.com/content/34/5/271.Details of the papers mentioned on this podcast can be found below:Management of pregnancy and obstetric complications in prehospital trauma care: faculty of prehospital care consensus guidelines -http://emj.bmj.c

May 02,2017 12:49

64. Detecting human trafficking: a life-saving diagnosis in the emergency department

Almost 90% of the survivors of human trafficking interact with healthcare professionals and emergency medicine clinicians are the first to see them most of the times.Hanni Stoklosa, an Emergency Physician in Boston, USA, tells EMJ’s Editor-in-Chief Ellen Weber why and how we can detect victims of “modern day slavery".More information available at the website healtrafficking.org.Please visit the EMJ website (emj.bmj.com), where you can also read about:• "Developing a multidisciplinary approach wi

Apr 21,2017 14:39

65. April 2017’s Primary Survey

Simon Carley, Associate Editor of EMJ, talks through the highlights of the April edition of the Emergency Medicine Journal, with a special focus on organ donation. Read the primary survey here: http://emj.bmj.com/content/34/4/201.Details of the papers mentioned on this podcast can be found below.Critical care in the Emergency Department: organ donation: http://emj.bmj.com/content/34/4/256.Withdrawal of life-sustaining therapy: the case for delay: http://emj.bmj.com/content/34/4/203.A randomised

Mar 27,2017 11:03

66. March 2016’s Primary Survey

Simon Carley discusses the March's issue of EMJ. The highlights include cricoid pressure, pain, measuring weight, ambulances and the h-index. The discussed papers are as follows:Put pressure on the cricoid pressure - http://emj.bmj.com/content/34/3/128Effect of cricoid pressure on laryngeal view during prehospital tracheal intubation: a propensity-based analysis - http://emj.bmj.com/content/34/3/132What is propensity score modelling? - http://emj.bmj.com/content/34/3/129An ED paradox: patients w

Mar 20,2017 08:49

67. February 2017’s Primary Survey

Simon Carley talks through the highlights of the February 2017's EMJ. Among these are clinical decision making and the transition from novice to expert.Here are links to the discussed papers:Have we forgotten to teach how to think? - http://emj.bmj.com/content/34/2/68;The transition to clinical expert: enhanced decision making for children aged less than 5 years attending the paediatric ED with acute respiratory conditions - http://emj.bmj.com/content/34/2/76;Clinical reasoning of junior doctors

Mar 13,2017 09:16

68. November 2016’s Primary Survey

Simon Carley is on his own once more, talking through the highlights of the November 2016's EMJ. Here are links to the discussed highlights:Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department - http://emj.bmj.com/content/33/11/756.fullRelated editorial: Paediatric early warning systems (PEWS) in the ED - http://emj.bmj.com/content/33/11/754.extractEarly warning scores: a health warning - http://emj.bmj.com/content/33/11/812.abstractEngaging the p

Nov 07,2016 12:31

69. That old weekend effect!

The truths and myths about the so-called "weekend effect" in the UK hospitals is discussed in this podcast.Chris Moulton, Vice President of the Royal College of Emergency Medicine and a senior consultant at the Royal Bolton Hospital, and Ellen Weber, Editor-in-Chief of the EMJ, compare two very different realities between the USA and the UK emergency medicines, in terms of resources, mind-sets and politics.Why does data show there is a disparity in mortality rate for patients admitted to hospit

Oct 24,2016 14:22

70. October 2016’s Primary Survey

Simon Carley is on his own this time, talking through the highlights of the October 2016's EMJ. Among the highlights are the low number of women presenting at emergency medicine conferences, PERC rule, triage tools and paramedics' experiences of end-of-life care decisions.The discussed papers:"Are there too few women presenting at emergency medicine conferences?", "A retrospective analysis of the combined use of PERC rule and Wells score to exclude pulmonary embolism in the Emergency Department"

Oct 14,2016 10:03

71. September 2016’s Primary Survey

Simon Carley and and Rick Body, EMJ associate editors, talk you through the highlights of the September 2016's EMJ.Here are the links to the discussed papers:Regional scale-up of an Emergency Triage Assessment and Treatment (ETAT) training programme from a referral hospital to primary care health centres in Guatemala - http://emj.bmj.com/content/33/9/611.abstractWhat is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception? - http://emj.bmj.com/conte

Sep 21,2016 15:54

72. August 2016’s Primary Survey

Simon Carley and and Richard Body, EMJ associate editors, talks you through the highlights of the August 2016's EMJ, including a retrospective cohort study which puts nurses vs. computer, by evaluating the accuracy of a Japanese triage algorithm (JTAS) and the debate around paediatric procedural sedation in the Emergency Department in the UK. This podcast also answers the question: how likely are doctors to be sued, based on their empathy with patients.For all the content from the issue, see:htt

Sep 01,2016 10:18

73. June 2016’s Primary Survey

In this podcast Simon Carley discusses the highlights from June's issue with Mary Dawood, a consultant nurse in emergency medicine at Imperial College London.

Jun 09,2016 15:25

74. May 2016’s Primary Survey

In this podcast Simon Carley discusses the highlights from May's issue of EMJ.

May 17,2016 18:06

75. April 2016’s Primary Survey

In this podcast Simon Carley and Ellen Weber discuss the highlights from April's issue of EMJ focused on error.

Apr 01,2016 17:44

76. February 2016’s Primary Survey

Simon Carley and Rick Body, EMJ associate editors, talk you through the highlights of February's EMJ.For all the content from the issue, see:http://emj.bmj.com/content/33/2.toc

Feb 09,2016 16:39

77. Tanzanian emergency medicine exchange

Dr Ellen Weber talks to Dr Renatus Tarimo and Dr Shahzma Suleman from Dar es Salaam in Tanzania. This interview takes place as they complete their six week obsevation visit at the emergency departments of UCSF Medical Center and San Francisco General Hospital in San Francisco and they reflect on their visit and the differences in medical practice and education between the two countries.

Jul 02,2015 20:34

78. How familiar are clinician team mates?

Lack of familiarity between teammates is linked to worsened safety in high risk settings. The emergency department (ED) is a high risk healthcare setting where unfamiliar teams are created by diversity in clinician shift schedules and flexibility in clinician movement across the department. Dr Ellen Weber speaks to Dr Daniel Patterson about his research to characterise familiarity between clinician teammates in one urban teaching hospital ED over a 22 week study period.Read the full paper: http

Apr 15,2015 15:30

79. February 2015’s primary survey

Simon Carley, EMJ associate editor, talks you through the highlights of February's EMJ.For all the content from the issue, see:http://emj.bmj.com/content/32/2.toc

Feb 02,2015 10:52

80. January 2015’s primary survey

Simon Carley, EMJ associate editor, talks you through the highlights of January's EMJ, including pulmonary embolism in pregnancy and the post partum period, the causes of suffering in the ED, and how to diagnose a patient by their facial expressions. For all the content from the issue, see:http://emj.bmj.com/content/32/1.tocListen to a podcast on diagnosis by face: http://goo.gl/0ackZwListen to a podcast on suffering in the ED: http://goo.gl/JhGa7P

Dec 15,2014 10:06

81. December 2014’s primary survey

Simon Carley, EMJ associate editor, talks you through the highlights of December's EMJ, including crowding in the emergency department, sepsis treatment and capillary refill.For all the content from the issue, see:http://emj.bmj.com/content/31/12.toc

Dec 11,2014 10:02

82. Not all suffering is pain

Provision of prompt, effective analgesia is rightly considered as a standard of care in the emergency department (ED). However, much suffering is not ‘painful’ and may be under-recognised. A recent paper in EMJ looked to describe the burden of suffering in the ED and explore how this may be best addressed from a patient centred perspective. Ellen Weber talks to lead author Richard Body, Emergency Department Research Office, Manchester Royal Infirmary, to hear what they found.Read the full paper:

Dec 10,2014 15:36

83. DRC to Dar: one physician’s journey to emergency medicine

Dr Mundenga Mutendi Muller is a young doctor from Kindu province in the Democratic Republic of Congo (DRC), currently training in the Emergency Medcine Residency at Muhimbili National Hospital in Dar es Salaam, Tanzania. He was interviewed in Dar es Salaam by Ellen Weber, EMJ Editor. This is an excerpt of their conversation. An edit of the conversation is also available as a EMJ article: http://emj.bmj.com/content/31/8/611.full

Jul 14,2014 09:18

84. Diagnosis by face

Clinicians use nonverbal cues from patients, including their facial expression content and variability, to make inferences about how ill a patient is. However the diagnostic accuracy of facial expressions as a method of physical diagnosis hasn't previously been scientifically examined.Research just published in EMJ is the first to examine this question, and provides proof of concept that patients with serious cardiopulmonary disease processes manifest facial expressions with decreased variabilit

Jun 16,2014 14:08

85. Solving the crisis in emergency medicine

Cliff Mann, president of the College of Emergency Medicine, discusses how the college and the HEE are going to tackle the five major challenges in emergency medicine.

Dec 20,2013 09:24

86. The Wells scores for VTE

Our colleague Daniel Horner meets P Wells, a legendary figure in derivation of clinical prediction rules and author of the famous Wells scores for VTE. They discuss the difficulties in diagnosing VTE in pregnancy, the potential end of AVKs, and the future for VTE research.

Apr 23,2013 12:56

87. Emergency medicine and the military

Janos P Baombe (EMJ associate editor) meets with Sir Keith Porter (professor in Clinical Traumatology at the University of Birmingham). They discuss the place of evidence based medicine in military care, lessons for civilian emergency medicine, the concepts of right turn resuscitation, damage control surgery, and consultant-delivered care in military emergency medicine.

Apr 23,2013 09:21

88. Clinical decision rules: a meeting with Professor Ian Stiell

Dan Horner, a research fellow from Manchester, talks to the person behind the Ottawa ankle, knee and Canadian c-spine rules. Ian Stiell is a professor of Emergency Medicine, clinical epidemiologist and chair of Emergency Research at the University of Ottawa.They discuss implementation of decision rules in emergency medicine, current projects in Ottawa, the benefits of aggressive emergency department management of atrial fibrillation, and the unpublished findings from the recent Resuscitation Out

Apr 23,2013 15:30

89. Crew resource management with Nick Crombie

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

Apr 23,2013 09:49

90. The College of Emergency Medicine

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.

Apr 23,2013 17:12

91. The future of career grade doctors in emergency medicine

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”.

Apr 23,2013 15:15

92. EMJ rencontre EuSEM: l’expansion de la médecine d’urgences en Europe

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 (Eu

Apr 23,2013 08:44

93. Advances in resuscitation

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).

Apr 23,2013 11:24

94. A propos du retrait de soins thérapeutiques

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

Apr 23,2013 08:03

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