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Emergency Medicine

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Silver Linings with The Old Gays

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Our Chosen Family 33:19

15 hari yang lalu33:19

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What’s the secret to lasting friendships? How does queer community show up through the ebbs and flows of life? And what’s the REAL story behind the “YMCA” song? In the first episode of Silver Linings, The Old Gays dive into an essential part of queer life: chosen family. They discuss the vital love, support, and sense of belonging that community provides, especially during life's toughest moments. They open up about what “queer” means to them, how chosen family has impacted their lives, and how to maintain close bonds over time–including their love for each other! “We’ve come a long way, baby.” Family isn’t just what you’re born with; it’s the people who show up, shape you, and stick around. See omnystudio.com/listener for privacy information.…

EMJ Podcast

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The Emergency Medicine Journal (EMJ) podcast is your premier source for the latest insights and developments in pre-hospital, hospital emergency medicine and critical care. Join the EMJ journal’s Deputy Editor and Social Media Editor each month as they discuss key highlights from the latest issue. EMJ - emj.bmj.com - is an international journal from the BMJ Group and the Royal College of Emergency Medicine (RCEM) covering developments and advances in emergency medicine and acute care. Stay informed with expert discussions and cutting-edge information by subscribing or listening on your favourite podcast platform. Podcast hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK

116 episode

#Interviews #Conference #Roundtable #British #Medical #Emergency #Injury #BMJ Group #Emergency Medicine #Science #Medicine #Fooducate Podcasts #Health and Well-Being #Fitness #BMJ #Debate #Journalism #Accidents

EMJ Podcast

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updated 26 hari yang lalu

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116 episode

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1
Acute palliative care, hands-free epistaxis relief, and modern laryngoscopy: May 2025 Primary Survey 31:21

26 hari yang lalu31:21

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A new survey has found that less than one third of end-of-life patients in Irish emergency departments have their own room. This is only one of the shortcomings found in end-of-life care, explored in two papers to start this episode. Following on from that is a comparison of video and direct laryngosocopy for intubation outcomes. There's also a "Best Evidence" review of the use of nasal clips for stopping nosebleeds, an approach which appears likely to offer advantages over the hands or inventive tongue-depressor contraptions. The finish up this month's episode, there's a return to a topic previously visited one year ago - the RCEM guidelines on cannabinoid hyperemesis syndrome . A study from Wales follows up on the adherence to this guidance. Read the highlights: May 2025 Primary Survey Dying matters in the emergency department Emergency clinician perceptions of end-of-life care in Irish emergency departments: a cross-sectional survey Video laryngoscopy may improve the intubation outcomes in critically ill patients: a systematic review and meta-analysis of randomised controlled trials Use of nasal clips as first aid for anterior epistaxis Awareness and management of cannabinoid hyperemesis syndrome among staff in emergency departments in Wales The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Semior Associate Editor and Social Media Editor, Royal Derby Hospital, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 Apple ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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The walk-in wounded, detecting hypofibrinogenemia, and "time is testicle!": April 2025 Primary Survey 34:06

8 weeks yang lalu34:06

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Trauma and paediatrics are the themes for this month's collection of papers. Starting off is a review of the effectiveness of prehospital ultrasound in detecting lung injury, with some surprising statistics. Next is a letter on the topic of self-presentation by paediatric patients with major trauma, which is thankfully a rare occurrence. The third paper looks at prehospital testing of trauma patients for low fibrinogen levels, a condition which can lead to worse bleeding, increased transfusions, and higher mortality. The final paper discusses the worrying topic of delayed presentation with testicular pain, a phenomenon which leads to significantly lower salvage rates. This can arise from lack of information or embarrassment, particularly in younger males. Read the highlights: April 2025 Primary Survey Diagnostic accuracy of prehospital ultrasound in detecting lung injury in patients with trauma: a systematic review and meta-analysis Identifying the walk-in wounded: paediatric major trauma patients self-presenting to a paediatric major trauma centre Comparison between point-of-care international normalised ratio, COAST, TICCS and truncated FibAT scores to rule in clinically significant hypofibrinogenaemia in the prehospital setting Experiences and perceptions of acute testicular pain, with a focus on reasons for delayed presentation to hospital: a qualitative evidence synthesis The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Semior Associate Editor and Social Media Editor, Royal Derby Hospital, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Dementia care, supporting ACPs, and handling hidradenitis suppurativa: March 2025 Primary Survey 31:02

12 weeks yang lalu31:02

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Advance clinical practitioners (ACPs) can have a big role to play in the emergency department, but their career paths are not always well understood. This episode features three papers from the journal which begin to address that - a census survey of over 1000 ACPs, a qualitative study on their experiences in emergency care, and a commentary on how to improve ACP training. There is also a paper from Canada discussing considerations to be made for patients living with dementia, as well as their care partners who may be accompanying them to the hospital. A bit of a curveball to close out, with a review on hidradenitis suppurativa, a challenging skin condition which can take years for a diagnosis. Read the highlights: March 2025 Primary Survey Care for older adults living with dementia in the emergency department: a systematic review and meta-synthesis of care partner roles and perspectives Emergency medicine advanced clinical practitioners: an English workforce census A qualitative study exploring the experiences of advanced clinical practitioner training in emergency care in the South West of England, United Kingdom How can we improve on advanced clinical practitioner training? Diagnosis and management of hidradenitis suppurativa: a review for the emergency clinician The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Semior Associate Editor and Social Media Editor, Royal Derby Hospital, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Improving sex and gender equity, rapid virus testing and saline injections for pain relief: February 2025 Primary Survey 28:06

16 weeks yang lalu28:06

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Another packed issue of the journal this month, and a podcast to match. Starting off with the Editor's Choice paper, on the important topic of sex and gender disaggregation in emergency medicine trials. Sex and Gender Equity Reporting (SAGER) guidelines were introduced in 2016 but poor adherence is still found in current publications. Next is a paper with high seasonal relevance, addressing the sensitivity and specificity of multiplex lateral flow tests for Flu A, Flu B and COVID 19. There's also a randomised controlled trial on nebulised corticosteroids for asthma exacerbation, and to finish, a question few might think to ask - can intradermal injection of sterile water offer pain relief to renal colic patients? Read the highlights: February 2025 Primary Survey Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review Sex and gender reporting in scientific papers now strongly recommended by the Emergency Medicine Journal Multiplex lateral flow test sensitivity and specificity in detecting influenza A, B and SARS-CoV-2 in adult patients in a UK emergency department Nebulised high-dose corticosteroids as add-on therapy for adults with asthma exacerbation: a randomised controlled trial Best evidence topic report: can intradermal sterile water injections provide effective pain relief in patients with renal colic? The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Overcrowding in the emergency department, with Dr. Adrian Boyle and Prof. Ellen Weber 28:08

19 weeks yang lalu28:08

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A special bonus podcast this time, on the perennial issue of crowding. Rick and Sarah are joined by Royal College of Emergency Medicine president Dr. Adrian Boyle, and EMJ's editor-in-chief Prof. Ellen Weber. They address recent evidence for crowding's harmful impact, the arm-twisting needed to shape policy, how it shapes patient confidence, and what the future of crowding looks like. Links: Association between delays to patient admission from the emergency department and all-cause 30-day mortality Being a patient in a crowded emergency department: a qualitative service evaluation The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Warzone mentality in the ED, and finding balance with hospital pre-alerts: January 2025 Primary Survey 29:49

20 weeks yang lalu29:49

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It's a celebration of qualitative research to start the new year, with a collection of papers offering new perspectives on emergency department issues. First is a pair of papers centred on the theme of pre-alerts to the emergency department. Setting the scene for a patient's arrival is a vital process, yet it can generate fear of criticism for getting the balance wrong, when it comes to over- and under-alerting. Following on is a paper taking a look at the human experience of working in the emergency department, and the war-like atmosphere that can be found there. This leads to the final paper on well-being interventions in the ED, with interviews having found real limitations to current approaches. Read the issue highlights: January 2025 Primary Survey How do emergency departments respond to ambulance pre-alert calls? A qualitative exploration of the management of pre-alerts in UK emergency departments What influences ambulance clinician decisions to pre-alert emergency departments: a qualitative exploration of pre-alert practice in UK ambulance services and emergency departments It’s a battlefield! A thematic analysis of narratives shared in Cape Town emergency departments Well-being interventions for emergency department staff: ‘necessary’ but ‘inadequate’ – a phenomenographic study The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Compelling evidence for rule-out of subarachnoid haemorrhage and aortic dissection: December 2024 Primary Survey 26:27

25 weeks yang lalu26:27

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Subarachnoid haemorrhage is a diagnosis that can't be missed, but it is not a simple process to detect it. The first paper for discussion this month questions if a CT scan within 6 hours is sufficient for exclusion in patients with acute headache. Then there is a large-scale analysis of over 400 million ED visits in the USA, focussing in on the significant issue of self-harm in the homeless population. Next is a paper on a decision tool for suspected acute aortic syndrome, and to finish, a discussion on the change in ED culture around safety since the COVID pandemic. Read the issue highlights: December 2024 Primary Survey Articles discussed in this episode: Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study Suicide and self-injury-related emergency department visits and homelessness among adults 25–64 years old from 2016 to 2021 in the USA Decision analytical modelling of strategies for investigating suspected acute aortic syndrome Culture of safety in an adult and paediatric emergency department before and after the COVID-19 pandemic The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Missing elbow fractures, and consulting the elders: November 2024 Primary Survey 29:51

30 weeks yang lalu29:51

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Upper limb injuries make up about three-quarters of the limb injuries to children seen in the emergency department. But when it comes to the elbow, just how good are clinicians at diagnosing based on radiography? The first paper this month is a study putting over 300 global participants to the test. There's also a practice review highlighting the concept of shared decision making with frail elderly patients, a discussion of biomarkers for aortic dissection detection, more on telephone triage, and an interesting questionnaire on patient experience. Read the issue highlights: November 2024 Primary Survey Articles discussed in this episode: Black and white: how good are clinicians at diagnosing elbow injuries from paediatric elbow radiographs alone? Person-centred decisions in emergency care for older people living with frailty: principles and practice Use of emergency departments by children and young people following telephone triage: a large database study The wisdom of elders: a new patient experience survey for older patients could tell us how to fix our emergency departments for everyone Psychometric validation of a patient-reported experience measure for older adults attending the emergency department: the PREM-ED 65 study Diagnostic accuracy of alternative biomarkers for acute aortic syndrome: a systematic review Links: Understanding escalation area and corridor care in UK emergency departments (UNCORKED) The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Ranking anaesthesias for wrist fracture, and finding pneumothoraces with AI: October 2024 Primary Survey 33:17

34 weeks yang lalu33:17

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There's a whole pile of blocks in this month's papers, with the first being a trial of Erector-Spinae Plane (ESP) blocks, not for rib fractures as you might expect but Hepato-Pancreato-Biliary (HPB) pain instead. Following on from that is a retrospective study comparing the resource utilisation of haematoma blocks, Bier’s blocks and procedural sedation for patients with forearm fractures. The next paper sets the performance of unassisted radiographers against those armed with artificial intelligence algorithms when diagnosing pneumothorax, and the results show an interesting demographic trend. Concluding the discussion topics this month is a letter regarding "on-scene time" for ambulances when assessing patients for suspected stroke - a situation where every minute counts. Read the issue highlights: October 2024 Primary Survey Articles discussed in this episode: EASIER trial (Erector-spinAe analgeSia for hepatopancreaticobiliary pain In the Emergency Room) Haematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study Evaluation of the impact of artificial intelligence-assisted image interpretation on the diagnostic performance of clinicians in identifying pneumothoraces on plain chest X-ray: a multi-case multi-reader study On-scene times during ambulance assessment of suspected stroke patients across England from December 2021 to November 2022 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Inducting new doctors, and managing rib fractures: September 2024 Primary Survey 33:47

38 weeks yang lalu33:47

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Being fallible was one of the most valued characteristics in a consultant, according to new doctors going through their induction - that's the subject of the first paper this month. Next up is a study on the impact of noise on hospital staff, which includes some simple interventions with measurable impact. There's also a discussion on pain relief for rib fractures, and how frailty scores are linked to 30-day mortality in patients. Read the issue highlights: September 2024 Primary Survey Articles discussed in this episode: Qualitative study of new doctor induction and socialisation Reduced noise in the emergency department: the impact on staff well-being and room acoustics The RELIEF feasibility trial: topical lidocaine patches in older adults with rib fractures Frailty is associated with 30-day mortality: a multicentre study of Swedish emergency departments The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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When to CT scan after a seizure, and indirect signs of appendicitis: August 2024 Primary Survey 32:46

43 weeks yang lalu32:46

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The recovery of laceration repair patients is the topic of this month's first paper, looking at behavioural disturbances in children following these difficult medical procedures. The second paper deals with pre-hospital use of tranexamic acid for trauma, and surfaces some demographic discrimination in its rates of application. Next there is an observational study which has developed a score for indirect signs of appendicitis on ultrasounds where the appendix is not visualised. Finishing off the episode is a "Best Evidence" report, dealing with the appropriate usage of CT scans on patients first presenting with a seizure. Read the issue highlights: August 2024 Primary Survey Articles discussed in this episode: Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes Evaluation of the prehospital administration of tranexamic acid for injured patients: a state-wide observational study with sex and age-disaggregated analysis Predictive values of indirect ultrasound signs for low risk of acute appendicitis in paediatric patients without visualisation of the appendix on ultrasound Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure? The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Opioid toxicity, thrombectomy transfers, and austerity’s impact: July 2024 Primary Survey 26:27

47 weeks yang lalu26:27

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What might yawning and sneezing be signs of in a patient? This month's podcast features new RCEM and NPIS guidance on acute opioid toxicity, outlining a number of symptoms to stay alert to. Before getting to that there's a paper on bypassing hospitals for patients needing mechanical thrombectomy, a study on how austerity affected emergency admissions across a range of UK local authorities, and some research on the immune-related adverse affects that can arise in the ED amongst oncological patients. Read the issue highlights: July 2024 Primary Survey Articles discussed in this episode: Healthcare professional views about a prehospital redirection pathway for stroke thrombectomy: a multiphase deductive qualitative study. Day J, Simmonds RL, Shaw L, et al Are local public expenditure reductions associated with increases in inequality in emergency hospitalisation? Time-series analysis of English local authorities from 2010 to 2017. Castro-Ávila AC, Cookson R, Doran T, et al Management and outcome of oncological patients under immune checkpoint inhibitors presenting at the emergency department. Pini F, Grigoriu B, Lieveke A, et al Joint RCEM and NPIS best practice guideline: assessment and management of acute opioid toxicity in adults in the emergency department. Blundell M, Gill R, Thanacoody R, et al The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

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Patient self-perception, and presentations of headache: June 2024 Primary Survey 32:09

51 weeks yang lalu32:09

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How well do patients in the emergency department judge the severity of their situation? Some may fear the worst for any hospital visit, and others not realise that their lives are in danger. This month's first paper is a review of the accuracy of self-prognostication and its relation to admission, severity, and length of stay. Then there's a trio of publications on the challenges of pain in various forms. Starting with a study on the links between red flags in headache assessment, and serious secondary headaches. Next there is a letter, questioning how well pain management is done in the ED. To finish, a new scale has been developed to assess ultrasound-guided fascia iliaca block. Read the issue highlights: June 2024 Primary Survey Articles discussed in this episode: Can acutely ill patients predict their outcomes? A scoping review . Mols EM, Haak H, Holland M Safer@Home Research Consortium, et al Predictive performance of the common red flags in emergency department headache patients: a HEAD and HEAD-Colombia study . Chu K, Kelly A, Kuan WS HEAD and HEAD-Colombia study groups, et al Pain in the ED: does anyone manage it well? Wilson S, Dainty J, Quinlan J, et al Development and validation of an assessment tool for adult simulated ultrasound-guided fascia iliaca block: a prospective monocentric study . Guyader F, Violeau M, Guenezan J, et al The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK ( @richardbody ) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK ( @drsarahedwards ) You can subscribe to the EMJ podcast on all podcast platforms 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 ( https://apple.co/4bfcMU0 ) or Spotify ( https://spoti.fi/3ufutSL ) page.…

4 years yang lalu11:08

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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/38/4/249 Environmentally 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/38/4/252 S100B protein level for the detection of clinically significant intracranial haemorrhage in patients with mild traumatic brain injury: a subanalysis of a prospective cohort study: https://emj.bmj.com/content/38/4/285 Effect of tranexamic acid on intracranial haemorrhage and infarction in patients with traumatic brain injury: a pre-planned substudy in a sample of CRASH-3 trial patients: https://emj.bmj.com/content/38/4/270 Synergistic effects of emergency physician empathy and burnout on patient satisfaction: a prospective observational study: https://emj.bmj.com/content/38/4/290 Handheld electronic device use in patient care: the emergency department patient perspective—a cross-sectional survey: https://emj.bmj.com/content/38/4/258 Read the full Aprilissue here: https://emj.bmj.com/content/38/4…

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