Emj Podcast

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

Simon Carley and Rick Body, EMJ associate editors, talk you through the highlights of March's EMJ. For all the content from the issue, see: emj.bmj.com/content/33/3.toc#Primarysurvey

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

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.

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://emj.bmj.com/content/32/4/258.full?sid=f47dc6b9-deef-4a61-a77a-342ea713262b

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

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.toc Listen to a podcast on diagnosis by face: http://goo.gl/0ackZw Listen to a podcast on suffering in the ED: http://goo.gl/JhGa7P

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

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: http://goo.gl/kjs0x9

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

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 variability and emotional content than patients with no serious cardiopulmonary diagnosis. EMJ editor Ellen Weber discusses the findings with lead author Jeffrey Kline, professor in the Department of Emergency Medicine, Indiana University School of Medicine. Read the full paper: http://goo.gl/MFvaxC

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.

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.

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.

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 Outcomes Consortium investigators about compression depth in cardiopulmonary resuscitation.

Janos P Baombe (EMJ associate editor) talks to Nick Crombie (consultant trauma, plastic and burns anaesthetist, Queen Elizabeth Hospital, Birmingham) about errors in medicine and the emerging field of crew resource management. See also: Human factors and error prevention in emergency medicine http://bit.ly/17g7fXd

In this fifth episode of our podcast series Janos P Baombe (EMJ associate editor) meets with John Heyworth, immediate past president of the College of Emergency Medicine (CEM). They discuss the issues around consultant-delivered clinical care, the acquisition of a new HQ, the bid for royal appellation and the issues faced by the specialty.

In this fourth episode of our podcast series Janos P Baombe, EMJ associate editor, meets with Meng Aw-Yong, chair of FASSGEM (the Forum for Associate Specialist and Staff Grade Doctors in Emergency Medicine). They discuss the future of career grade doctors within emergency medicine, their worryingly declining numbers, opportunities for development and the difficulties faced by the “lost tribe”.

Dans ce troisième épisode de notre série de podcasts, Janos P Baombe rencontre le Professeur Abdelouahab Bellou, président de la Société Européenne de Médecine d’Urgences (EuSEM). Ils discutent l’expansion de la médecine d’urgences à travers le continent, le projet d’un examen pan-européen et le futur de la société. In this third episode of our podcast series, Janos P Baombe (EMJ associate editor) meets with Professor Abdelouahab Bellou, president of the European Society of Emergency Medicine (EuSEM). They discuss the expansion of this new specialty across the continent, the possibility of a pan-european exam and the future of the Society. The podcast is in French, but an English transcript is available http://bit.ly/q2cnju.

At the Emergency Medicine Trainees Association Annual Conference this April Jasmeet Soar, Chair of the Resuscitation Council UK, spoke about recent advances in resuscitation. Janos P Baombe (EMJ associate editor) spoke to him about the issues he raised, including minimising hands-off time, the role of capnography, the importance of therapeutic hypothermia and the future of cardiopulmonary resuscitation (CPR).