Emj Podcast

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/35/5/279 Details 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 over a 12-month period - emj.bmj.com/content/35/5/282 Absence of a quick fix does not mean ‘do nothing:’ time to address drug use in the ED - emj.bmj.com/content/35/5/280 New decision formulas for predicting endotracheal tube depth in children: analysis of neck CT images - emj.bmj.com/content/35/5/303 What is positionality and should it be expressed in quantitative studies? - emj.bmj.com/content/35/5/323 Modelling attending physician productivity in the emergency department: a multicentre study - emj.bmj.com

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 (Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial - emj.bmj.com/content/35/3/179). Read the primary survey here: emj.bmj.com/content/35/3/135 Details of the other papers mentioned in this podcast can be found below: Being a pioneer in emergency medicine - emj.bmj.com/content/35/3/142 Emergency medicine research: how far have we come and where are we heading? - emj.bmj.com/content/35/3/149 How can eme

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/35/2/73 Details of the papers mentioned in this podcast can be found below: Understanding cardiac troponin part 1: avoiding troponinitis - http://emj.bmj.com/content/35/2/120 Calculating the proportion of avoidable attendances at UK emergency departments: analysis of the Royal College of Emergency Medicine’s Sentinel Site Survey data - http://emj.bmj.com/content/35/2/114 Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards - http://emj.bmj.com/content/35/2/108 Pre-emptive ice cube cryotherapy for reducing pain from local anaesthetic injections for simple lacerations: a randomised controlled trial - http://emj.bmj.com/content/35/2/103 Use of the low-frequency/high-frequency ratio of heart rate variability to predict s

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/35/1/5 Tackling the demand for emergency department services: there are no silver bullets - http://emj.bmj.com/content/35/1/3 Emergency consultants value medical scribes and most prefer to work with them, a few would rather not: a qualitative Australian study - http://emj.bmj.com/content/35/1/12 Can an observational pain assessment tool improve time to analgesia for cognitively impaired older persons? A cluster randomised controlled trial - http://emj.bmj.com/content/35/1/33 Failure of falls risk screening tools to predict outcome: a prospective coho

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/34/10/647 Non-traumatic incidental findings in patients undergoing whole-body computed tomography at initial emergency admission - emj.bmj.com/content/34/10/643 Whole body computed tomography for trauma: friend or foe? - http://emj.bmj.com/content/34/10/635 Extreme event medicine: considerations for the organisation of out-of-hospital care during obstacle, adventure and endurance competitions http://emj.bmj.com/content/34/10/680 Ibuprofen versus placebo effect on acute kidney injury in ultramarathons: a randomised

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/34/8/491 Details of the papers mentioned on this podcast can be found below: Clinical relevance of pharmacist intervention in an emergency department - emj.bmj.com/content/34/8/495 Developing a decision rule to optimise clinical pharmacist resources for medication reconciliation in the emergency department - emj.bmj.com/content/34/8/502 Emergency medicine pharmacists on an international scale - emj.bmj.com/content/34/8/492 ‘Major trauma’: now two separate diseases? - emj.bmj.com/content/34/8/494 Traumatic brain injuries in older adults—6 years of data for one UK trauma centre: retrospective analysis of prospectively collected data - emj.bmj.com/content/34/8/509 Validating the Manchester Acute Coronary Syndromes (MACS) and Troponin-only Manchester Acute Coronary Syndromes (T-MACS) rules for the prediction of acute myocardial

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/34/7/427 Details 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/34/7/428 Emergency medicine: what keeps me, what might lose me? A narrative study of consultant views in Wales - http://emj.bmj.com/content/34/7/436 The psychological health and well-being of emergency medicine consultants in the UK - http://emj.bmj.com/content/34/7/430 Satisfaction, burnout and intention to stay of emergency nurses in Shanghai - http://emj.bmj.com/content/34/7/448 Occupational stress in the ED: a systematic literature review - http://emj.bmj.com/content/34/7/441 Can a partnership between general practitioners and ambulance services reduce conveyance to emergency care? - http://emj.bmj.com/content/34/7/459 Relationship betw

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/34/6/347 Details 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 external validation in three cohorts - http://emj.bmj.com/content/34/6/349 What is an ROC curve? - http://emj.bmj.com/content/34/6/357 A systematic review of management strategies for children’s mental health care in the emergency department: update on evidence and recommendations for clinical practice and research - http://emj.bmj.com/content/34/6/376 The Royal College of Emergency Medicine composite pain scale for children: level of inter-rater agreement - http://emj.bmj.com/content/34/6/360 Emergency department s

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.com/content/34/5/318; Management of pregnancy and obstetric complications in prehospital trauma care: prehospital resuscitative hysterotomy/perimortem caesarean section - http://emj.bmj.com/content/34/5/326; Does end-tidal capnography confirm tracheal intubation in fresh-frozen cadavers? - http://emj.bmj.com/content/34/5/315; Remifentanil for procedural sedation: a systematic review of the literature - http://emj.bmj.com/content/34/5/294; The role of reduced heart rate volatility in predicting disposition fro

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 within the ED towards domestic violence presentations" - http://emj.bmj.com/content/31/3/192. • "What factors are associated with repeated domestic assault in patients attending an emergency department? A cohort study" - http://emj.bmj.com/content/27/3/203. • "Expectations and perceptions of care among victims of sexual assault who first seek care from emergency, primary care and gynaecological doctors" - http://emj.bmj.com/content/33/2/134.

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 experiment comparing low-cost ultrasound gel alternative with commercial gel: http://emj.bmj.com/content/34/4/227. Validity of the Manchester Triage System in patients with sepsis presenting at the ED: a first assessment: http://emj.bmj.com/content/34/4/212. Mid-arm circumference can be used to estimate weight of adult and adolescent patients: http://emj.bmj.com/content/34/4/231.

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/34/3/128 Effect of cricoid pressure on laryngeal view during prehospital tracheal intubation: a propensity-based analysis - http://emj.bmj.com/content/34/3/132 What is propensity score modelling? - http://emj.bmj.com/content/34/3/129 An ED paradox: patients who arrive by ambulance and then leave without consulting an ED provider - http://emj.bmj.com/content/34/3/151 An assessment of the accuracy of a novel weight estimation device for children - http://emj.bmj.com/content/34/3/163 Analysis of h-index and other bibliometric markers of productivity and repercussion of a selected sample of worldwide emergency medicine researchers - http://emj.bmj.com/content/34/3/175 A comparison of pain assessment by physicians, parents and children in an outpatient setting htt

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 in emergency medicine: a grounded theory study - http://emj.bmj.com/content/34/2/70; Role of physician perception of patient smile on pretest probability assessment for acute pulmonary embolism - http://emj.bmj.com/content/34/2/82; Clinical metrics in emergency medicine: the shock index and the probability of hospital admission and inpatient mortality - http://emj.bmj.com/content/34/2/89; Dietary sugars versus glucose tablets for first-aid treatment of symptomatic hypoglycaemia in awake patients with diabet

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.full Related editorial: Paediatric early warning systems (PEWS) in the ED - http://emj.bmj.com/content/33/11/754.extract Early warning scores: a health warning - http://emj.bmj.com/content/33/11/812.abstract Engaging the public in healthcare decision-making: results from a Citizens’ Jury on emergency care services - http://emj.bmj.com/content/33/11/782.full ED healthcare professionals and their notions of productivity - http://emj.bmj.com/content/33/11/789.abstract Soluble urokinase plasminogen activator receptor (suPAR) in acute care: a strong marker of disease presence and severity, readmission and mortality. A retrospective cohort study - http://emj.bmj.com/content/33/11/769.full Burden of emergency conditions and emerge

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 hospital at the weekend compared to those admitted on a weekday? Both related article and commentary published by the Emergency Medicine Journal are available here: http://emj.bmj.com/content/early/2016/10/27/emermed-2016-206049; http://emj.bmj.com/content/early/2016/10/27/emermed-2016-206226.

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", "One-two-triage: validation and reliability of a novel triage system for low-resource settings", "Paramedics' experiences of end-of-life care decision making with regard to nursing home residents: an exploration of influential issues and factors". Access the full issue here: http://emj.bmj.com/content/33/10.toc.

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.abstract What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception? - http://emj.bmj.com/content/33/9/632.abstract Point-of-care lung ultrasound in young children with respiratory tract infections and wheeze - http://emj.bmj.com/content/33/9/603.abstract Perceived clinician–patient communication in the emergency department and subsequent post-traumatic stress symptoms in patients evaluated for acute coronary syndrome - http://emj.bmj.com/content/33/9/626.full Man or machine? An experimental study of prehospital emergency amputation - http://emj.bmj.com/content/33/9/641.full External validation of the

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: http://emj.bmj.com/content/33/8.toc

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.

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