Emj Podcast

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

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.

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/37/1 Details 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://emj.bmj.com/content/37/1/14 Epidemiology of adolescent trauma in England: a review of TARN data 2008–2017 - https://emj.bmj.com/content/37/1/25 Blood Glucose Reduction in Patients Treated with Insulin and Dextrose for Hyperkalemia - https://emj.bmj.com/content/37/1/31 No rest for the weary: A cross-sectional study comparing patients sleep in the emergency department to those on the ward https://emj.bmj.com/content/37/1/42 Thromboprophylaxis in Lower Limb Immobilisation after Injury (TiLLI) https://emj.b

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’ diagnostic accuracy - https://emj.bmj.com/content/36/10/589 Impact of the caller’s emotional state and cooperation on out-of-hospital cardiac arrest recognition and dispatcher-assisted cardiopulmonary resuscitation - https://emj.bmj.com/content/36/10/595 Diurnal, weekly and seasonal variations of chest pain in patients transported by emergency medical services - https://emj.bmj.com/content/36/10/601 Pulmonary embolism following complex trauma: UK MTC observational study - https://emj.bmj.com/content/36/10/608 Adap

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/36/9/517 Details of the papers mentioned in this podcast can be found below: The Panoramic Dental Radiograph for Emergency Physicians - https://emj.bmj.com/content/36/9/565 Exploring the characteristics, acuity and management of adult ED patients at night-time - https://emj.bmj.com/content/36/9/554 Evaluation of the criteria for trauma activation in the paediatric emergency department - https://emj.bmj.com/content/36/9/529 Why are people increasingly attending the emergency department? A study of the French healthcare system - https://emj.bmj.com/content/36/9/548 Location of arrest and effect of prehospital advanced airway management after emergency medical service-witnessed out-of-hospital cardiac arrest: Nationwide observational study - https://emj.bmj.com/content/36/9/541 Phenomenological study exploring ethics in pr

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/36/8/451 Details 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/36/8/456 Impact of emergency physician experience on decision-making in patients with suspected community-acquired pneumonia and undergoing systematic thoracic CT scan - https://emj.bmj.com/content/36/8/485 Meta-analysis of the accuracy of termination of resuscitation rules for out-of-hospital cardiac arrest - https://emj.bmj.com/content/36/8/479 Potential added value of the new emergency care dataset to ED-based public health surveillance in England: an initial concept analysis - https://emj.bmj.com/content/36/8/459 Paracetamol versus other analgesia in adult patients with minor musculoskeletal injuries: a systematic review - https://emj.bmj.com/c

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/36/7/385 Details 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 Networks: a service evaluation - https://emj.bmj.com/content/36/7/395 Confirmed cardiac output on emergency medical services arrival as confounding by indication: an observational study of prehospital airway management in patients with out-of-hospital cardiac arrest - https://emj.bmj.com/content/36/7/410 Driving stroke quality improvement at scale in EDs across a nationwide network of hospitals: strategies and interventions - https://emj.bmj.com/content/36/7/423 The association of paramedic rapid sequence intubati

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/36/6/324 Details 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 Prehospital determinants of successful resuscitation after traumatic and non-traumatic out-of-hospital cardiac arrest - https://emj.bmj.com/content/early/2019/05/02/emermed-2018-208165 Ageing population has changed the nature of major thoracic injury - https://emj.bmj.com/content/early/2019/04/02/emermed-2018-207943.abstract 'They don't are how much you know until they know how much you care': A qualitative meta-synthesis of patient experience in the Emergency Department - https://emj.bmj.com/content/early/2

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/36/5/257 Details 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 practice for critical skills: a global survey of paediatric emergency medicine clinicians - emj.bmj.com/content/36/5/273 Immune checkpoint blockade toxicity among patients with cancer presenting to the emergency department - emj.bmj.com/content/36/5/306 Major incident triage and the evaluation of the Triage Sort as a secondary triage method - https://emj.bmj.com/content/36/5/281 Distributions of the National Early Warning Score (NEWS) across a healthcare system following a large-scale roll-out - https://e

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-2018-207818). The commentary mentioned in the podcast will be published with the April issue of the journal. More papers mentioned in the podcast: - Are there too few women presenting at emergency medicine conferences? (https://emj.bmj.com/content/33/10/681) - When will we have enough women speakers in emergency medicine? (https://emj.bmj.com/content/33/10/680)

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/36/2/63 Details 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/36/2/66 A systematic review examining the impact of redirecting low-acuity patients seeking emergency department care: is the juice worth the squeeze? - emj.bmj.com/content/36/2/97 From ED overcrowding to jail overcrowding: a cautionary tale of a Serial Inebriate Programme (SIP) - emj.bmj.com/content/36/2/92 UK’s initial operational response and specialist operational response to CBRN and HazMat incidents: a primer on decontamination protocols for healthcare professionals - emj.bmj.com/content/36/2/117 Implementation of tranexamic acid for bleeding trauma patients: a longitudinal and cross-sectional study - emj.

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/36/1/52 Accuracy of NEXUS II head injury decision rule in children: a prospective PREDICT cohort study - emj.bmj.com/content/36/1/4 Side effects of decision rules, or the law of unintended consequences - emj.bmj.com/content/36/1/2 Analgesia in the emergency department: why is it not administered? - emj.bmj.com/content/36/1/12 Urgent care axis for the older adult: where is best to target interventions? - emj.bmj.com/content/36/1/22 Exploring parents’ reasons for attending the emergency department for children with minor illnesses: a mixed methods systematic review - emj.bmj.com/content/36/1/39 Read the full January issue here: emj.bm

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/35/12/719 Details 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/content/35/12/726 Performing sit down medicine in a stand-up place: is it time for palliative care in the emergency department? - emj.bmj.com/content/35/12/730 Predrawn prehospital medications are microbiologically safe for up to 48 hours - emj.bmj.com/content/35/12/743 Systematic review and meta-analysis of pre-hospital diagnostic accuracy studies - emj.bmj.com/content/35/12/757 Read the full December 2018 issue of EMJ here: emj.bmj.com/content/35/12

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/35/11/651 Details 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 some way to go - emj.bmj.com/content/35/11/657 Characteristics and outcomes of accidental hypothermia in Japan: the J-Point registry - emj.bmj.com/content/35/11/659 Indoor accidental hypothermia in the elderly: an emerging lethal entity in the 21st century - emj.bmj.com/content/35/11/667 Paediatric traumatic cardiac arrest: the development of an algorithm to guide recognition, management and decisions to terminate resuscitation - emj.bmj.com/content/35/11/669 Defining significant childhood illness and inj

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 the emergency department with a minor illness (https://www.bmj.com/content/357/bmj.j1941); Low-acuity presentations to the emergency department in Canada: exploring the alternative attempts to avoid presentation (https://emj.bmj.com/content/34/4/249).

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/35/8/461 Details 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/35/8/511 Intravenous cefazolin plus oral probenecid versus oral cephalexin for the treatment of skin and soft tissue infections: a double-blind, non-inferiority, randomised controlled trial - emj.bmj.com/content/35/8/492 Efficacy of scheduled return visits for emergency department patients with non-specific abdominal pain - emj.bmj.com/content/35/8/499 Application of outpatient cardiac testing among emergency department patients with syncope - emj.bmj.com/content/35/8/486 Diagnostic yield of an ambulatory patch monitor in patients with unexplained syncope after initial evaluation in the emergency department: the PATCH-ED study - emj.bmj.com/content/35/8/477 Preh

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/35/7/403 Details 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/35/7/406 Effects of hallway/corridor and companions on clinical encounters: a possible explanation - emj.bmj.com/content/35/7/404 Essential medicines for emergency care in Africa - emj.bmj.com/content/35/7/412 End-tidal carbon dioxide output in manual cardiopulmonary resuscitation versus active compression-decompression device during prehospital quality controlled resuscitation: a case series study - emj.bmj.com/content/35/7/428 Risk stratifying chest pain patients in the emergency department using HEART, GRACE and TIMI scores, with a single contemporary troponin resu

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/35/6/341 Details 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/35/6/350 Editor's choice: qSOFA, SIRS and NEWS for predicting inhospital mortality and ICU admission in emergency admissions treated as sepsis - emj.bmj.com/content/35/6/345 Editor's choice: Sepsis-3 and simple rules - emj.bmj.com/content/35/6/343 MRSA nares swab is a more accurate predictor of MRSA wound infection compared with clinical risk factors in emergency department patients with skin and soft tissue infections - emj.bmj.com/content/35/6/357 Outpatient management of children at low risk for bacterial meningitis - emj.bmj.com/content/3