RCEM Learning

Bringing you FOAMed straight from the Royal College of Emergency Medicine with links to the curriculum. Covering anything and everything EM. Find us at www.RCEMLearning.co.uk Keep up to date by following us @RCEMLearning. Get involved…

June 2025 06/12/2025

June 2025 Happy June! This month for the June 2025 episode of the RCEM Learning Podcast Rob covers for Andy and discussed two HALO-heavy papers with Dave - looking at the London HEMS pre-hospital thoracotomy paper and a systematic review looking at resuscitative hysterotomy. Becky and Chris go on the first of a two part deep dive through a guideline looking at the management of acute behavioural disturbance and we then end with New Online! If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (02:35) New in EM - London HEMS Thoracotomy Outcomes (15:41) Guidelines for EM - Acute Behavioural Disturbance in Emergency Departments (46:00) New in EM - Systematic review of resuscitative hysterotomies ---- 13:49 (59:48) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/36968605

May 2025 05/07/2025

May 2025 Happy May! This month for the May 2025 episode of the RCEM Learning Podcast Rob covers for Andy and Dave and discusses a systematic review and meta-analysis looking at the safety of different rate control methods in treating AF with rapid ventricular response. Becky and Chris go on a very deep dive through a guideline looking at the management of patients with suspected but unidentified poisoning and we then end with New Online! If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (02:04) New in EM - Adverse events in pharmacological treatment of AF with RVR (09:30) Guidelines for EM - Management of unexplained poisoning in the ED (01:01:44) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/36458735

April 2025 04/08/2025

April 2025 Happy April! This month for the April 2025 episode of the RCEM Learning Podcast we have Andy and Dave talking about the use of beta-blockers in sepsis. Becky and Chris talking about mortality reviews in the ED. In a similarly patient-safety aligned topic I speak to Maegan Ladell talking about patient safety culture and then finally, as always, New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (01:47) New in EM - Beta blockers in sepsis (16:34) Guidelines for EM - Mortality reviews in the ED (49:26) Patient Safety Culture - Meagen Ladell (01:12:16) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/36050095

March 2025 03/11/2025

March 2025 Happy March! This month for the March 2025 episode of the RCEM Learning Podcast starts with an update from Rob. We have Andy and Dave talking about oxygen targets in trauma in the TRAUMOX2 RCT. Becky and Chris talk about a BOAST orthopaedic guideline for the management of lateral patella dislocation. We interview Raine Astin-Chamberlain about sex, gender and pregnancy in research and then finally, as always, New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (02:26) New in EM - Oxygen targets in trauma (18:59) Guidelines for EM - BOAST guidelines for lateral patella dislocation (45:09) Sex, gender and pregnancy in research - Raine Astin-Chamberlain (01:03:37) New Online – new articles on RCEMLearning for your CPD Retaining ED staff: Policy, practice and research perspectives /episode/index/show/rcemlearning/id/35630620

February 2025 02/13/2025

February 2025 Happy Valentine's Day! This month for the February 2025 episode of the RCEM Learning Podcast, we have got a new in EM segments looking at the assessment of PE in younger patients. Becky and Chris detail a guideline on acute adrenal insufficiency, before ending with New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (03:06) New in EM - Using the PERC-35 Rule for PE (22:35) Guidelines for EM - Glucocorticoid-induced adrenal insufficiency (01:04:32) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/35235225

January 2025 01/08/2025

January 2025 Happy New Year! This month for the January 2025 episode of the RCEM Learning Podcast, we have got two new in EM segments looking at staff turnover and mortality and the assessment of febrile infants. Becky and Chris detail a guideline on acute kidney injury, before ending with New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (03:55) New in EM - Staff turnover and mortality (20:03) Guidelines for EM - NICE Guidelines on Acute Kidney Injury (59:36) New in EM - Assessment of febrile infants (01:17:19) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/34771825

December 2024 12/02/2024

December 2024 Merry Christmas! This month for the December 2024 episode of the RCEM Learning Podcast, we have got a new in EM segment looking at the surgical management of haemorrhagic stroke. Becky and Chris talk gift us with a big discussion around the management of pain in the ED. Rob talks to Laura Howard and Gregory Yates about reviving the BestBETS project, before ending with New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (04:29) New in EM - Surgery for haemorrhagic stroke (15:45) Guidelines for EM - RCEM Management of Acute Pain in Adults in the ED (01:12:43) Laura Howard and Gregory Yates - BestBETs (01:23:20) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/34219835

November 2024 11/04/2024

November 2024 This month for the November 2023 episode of the RCEM Learning Podcast we're focusing on the RCEM ASC. Rob and Liz talk through their favourite talks from the conference and then we move on to our RCEM ASC Interview Megamix where I speak with thirteen presenters about their work from the RCEM ASC. This is going to be a mix of paediatric and adult EM, so feel free to have a look at the timestamps if you want to get to the stuff that is most relevant to you - I'd recommend you listen to it all! If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the Submit an abstract to the EMTA Conference (07:54) RCEM ASC Interview Megamix (07:54) Cath Taylor - Using livestreaming phones in the ambulance service (17:10) Phil Cowburn - The Major Incident Ten Second Triage Tool (23:25) Mark Macmillan - Whole-body CT scanning in older injured patients (29:42) Leilah Dare - Using GIRFT data to implement change (38:10) Ben Clarke - TERN Update and the UnCORKED study (49:38) Alison Porter - Using qualitative research in emergency medicine (58:10) Christopher Humphries - Cannabinoids and tailoring your anti-emetic selection (01:05:42) Steve Goodacre - Diagnosing acute aortic syndrome and the ASES study (01:10:57) Tom Waterfield - PERUKI Update (01:20:18) Shrouk Messahel - CRESCENT Study (01:29:16) Damian Roland - Bronchstart, bronchiolitis, and vaccination (01:39:34) Dave McCreary - Introducing a culture of paediatric point of care ultrasonography (01:50:10) Emma Lim - Spotting Sepsis in the PED Further Links and Reading /episode/index/show/rcemlearning/id/33770877

October 2024 10/03/2024

October 2024 Happy October! This month for the October 2024 episode of the RCEM Learning Podcast, We have got two new in EM segments looking at the use of peripheral hypertonic saline and defibrillation strategies in refractory VF. Rob and I will then be discussing the RCEM Toolkit for caring with patients with learning disability. Rob then talks to the EM at the Deep End team, before ending with New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (02:52) New in EM - Peripheral use of hypertonic saline (14:33) Guidelines for EM - RCEM Learning Disabilities Toolkit (39:10) EM at the Deep End (55:46) New in EM - Defibrillation strategies in refractory ventricular fibrillation (01:10:31) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/33302697

September 2024 09/09/2024

September 2024 Happy September! This month for the September 2024 episode of the RCEM Learning Podcast, we have a new in EM section looking at the use of NIV for preoxygenation in RSI. We then have Becky and Chris going over a new Guidelines for EM looking at the NICE Guidelines for meningitis. Rob puts on his TERN hat and speaks to the two former TERN Fellows and Dan Horner about the results of the Subarachnoid Haemorrhage in the ED Study before ending with New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (02:30) New in EM - NIV for preoxygenation in RSI (20:47) Guidelines for EM - NICE Guidance for Meningitis (01:05:00) The TERN SHED Study - 36:30 (01:41:35) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/32968772

August 2024 08/08/2024

August 2024 Happy August! This month for the August 2024 episode of the RCEM Learning Podcast, we have two new in EM sections looking at the use of high flow nasal cannula vs. NIV for COPD and clinical gestalt for predicting sepsis. We then have Becky and Chris going over a new Guidelines for EM looking at opioid toxicity before ending with New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (03:21) New in EM - High-flow nasal cannula vs. NIV for COPD (19:19) Guidelines for EM - RCEM and NPIS Opioid Toxicity (54:26) New in EM - Clinical Gestalt for Predicting Sepsis (01:06:35) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/32494977

July 2024 07/08/2024

July 2024 Happy July! This month for the July 2024 episode of the RCEM Learning Podcast, Rob and Liz do two New in EM papers looking at performance of febrile infant algorithms by duration of fever and the use of Resorbable vs Non-Resorbable sutures in facial laceration repair. We complete the second part of our two-part Guidelines for EM looking at sickle cell disease before ending with New Online. If you'd like to email us, please feel free to do so . After listening, complete a short quiz to have your time accredited for CPD at the (03:16) New in EM - Blood biomarkers and algorithms and fever duration in febrile infants (13:34) Guidelines for EM - RCEM Sickle Cell Disease Sickle Cell Society - No One's Listening (35:51) New in EM - A Randomised Controlled Trial Of Resorbable vs Non-Resorbable Sutures For Lacerations Of The Face (TORN Face) (55:05) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/32039062

June 2024 06/07/2024

June 2024 Happy June! This month for the June 2024 episode of the RCEM Learning Podcast, Rob and Liz talk us through a New in EM section on nailbed repair in paediatric finger bed injury. We have the first in a two-parter on Sickle Cell Disease in our Guidelines for EM section and then Rob speaks with Chris Bretheron and Hamez Gacefari about the James Lind Alliance Priority Setting Partnership for Major Trauma. We then end with New Online. If you'd like to email us, please feel free to do so . (05:32) New in EM - Nailbed repair in paediatric finger injuries (21:16) Guidelines for EM - RCEM Sickle Cell Disease Sickle Cell Society - No One's Listening (55:50) Interview with Chris Bretheron and Hamez Gacefari (James Lind Alliance Priority Setting Partnership for Major Trauma) (01:11:01) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/31643027

May 2024 05/16/2024

May 2024 Happy Mayday! Apologies for the delay... this month for the May 2024 episode of the RCEM Learning Podcast Rob and Liz have two new in EM sections on the use of clonidine for pain and the use of coca cola in food boluses. We have a new Guidelines for EM section on The NEXUS Guidelines for Chest Imaging and then Rob speaks with Matt Reed about submitting your work for the RCEM Annual Scientific Conference. We then end with New Online. If you'd like to email us, please feel free to do so . (01:56) New in EM - Clonidine for pain (17:44) Guidelines for EM - The NEXUS Guidelines for Chest Imaging (49:28) Interview with Matt Reed (RCEM Research Committee Chair) (57:19) New in EM - Coca-cola for food bolus (01:13:24) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/31333767

April 2024 04/04/2024

April 2024 Happy April! This month for the April 2024 episode of the RCEM Learning Podcast Rob and Liz have got two New in EM segments with Andy and Dave looking at ondansetron in ketamine sedation and the use of antibotics in brain injury. We have a Guidelines for EM looking at the management of hyperemesis gravidarum and we have an interview with Vicky Price from the Society of Acute Medicine. We then end with New Online. If you'd like to email us, please feel free to do so (04:56) New in EM - Ondansetron in ketamine sedation (16:18) Guidelines for EM - RCOG - Hyperemesis Gravidarum (01:02:10) Interview with Vicky Price (Society of Acute Medicine) (01:38:05) New in EM - Antibiotics in brain injury (01:51:24) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/30678033

EMJ Podcast - March 2024 03/15/2024

EMJ Podcast - March 2024 Noel and Stephen discuss High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial /episode/index/show/rcemlearning/id/30374823

March 2024 03/04/2024

March 2024 Happy March! This month for the March 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment with Andy and Dave talking about the use of dexamethasone in migraine. Becky and Chris will then discuss the RCEM and Royal College of Radiologist guidelines for diagnosing thoracic aortic dissection. We then have another New in EM discussing transfusion thresholds in MI, and then end with New Online. If you'd like to email us, please feel free to do so . (02:47) New in EM - Dexamethasone in Migraine (17:36) Guidelines for EM - RCEM and RCR - Thoracic aneurysm dissection (01:11:05) New in EM - Transfusion thresholds in MI (01:25:45) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/30217203

February 2024 02/05/2024

February 2024 Happy February! This month for the February 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the use of POCUS for paediatric forearm fracture. Becky and Chris then go over the NICE Guidelines for transient loss of consciousness in the ED. Liz interviews Steve Taylor on the interface between primary and secondary care. We then go to Andy and Dave again looking at delabelling penicillin allergy, before ending it all with New Online. If you'd like to email us, please feel free to do so . (02:51) New in EM - POCUS for Paediatric Forearm Fractures (23:04) Guidelines for EM - NICE - Transient loss of consciousness (01:26:00) Interview with GP Steve Taylor (01:46:57) New in EM - Delabelling penicillin allergy (02:03:07) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/29800503

January 2024 01/08/2024

January 2024 Happy New Year! This month for the January 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the DAShED study examining the diagnosis and investigation of suspected acute aortic section. Becky and Chris then go over the RCEM Guidelines for Invasive Procedures in the ED. We then go to Andy and Dave again looking at non-invasive airway management of the comatose toxicological patient. We then end with New Online. If you'd like to email us, please feel free to do so . (02:58) New in EM - Diagnosis of Acute Aortic Syndrome in the Emergency Department (23:43) Guidelines for EM - RCEM - Invasive Procedures in the ED (55:20) New in EM - Noninvasive Airway Management of Comatose Poisoned Patients (01:11:40) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/29372098

December 2023 12/04/2023

December 2023 This month for the December 2023 episode of the RCEM Learning Podcast we welcome our new co-host Liz Farah. Merry Christmas!. We discuss two New in EM segments looking at overnight boarding of older patients in the ED and mortality and looking at the use of opioids in treating back pain. Rob and Liz discuss two guidelines looking at the management of hypertension in the ED and the investigation and management of cauda equina syndrome. We then end with New Online. If you'd like to email us, please feel free to do so . (03:10) New in EM - Overnight stays in the ED and mortality in older patients (24:47) Guidelines for EM - British Hypertension Society and GIRFT Cauda Equina Syndrome Pathway (58:36) New in EM - Opioids for back pain (01:22:00) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/28914563

November 2023 11/01/2023

November 2023 This month for the November 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the INTERACT3 trial looking at blood pressure targets following intracerebral haemorrhage. We then have Becky and Chris discussing the British Thoracic Society's new guidance on spontaneous pneumothorax. We then listen to Nikki Abela and Damian Roland talking about PERUKI, and then listen to Dave Clarke's experiences working in the Ukraine. We then end with New Online. If you'd like to email us, please feel free to do so . (02:36) New in EM - The INTERACT3 Study (16:58) Guidelines for EM - British Thoracic Society Guidelines for Spontaneous Pneumothorax (49:49) Nikki Abela and Damian Roland - PERUKI Update (01:03:08) Dave Clarke - Experiences Working in Ukraine with UK-MED (01:20:24) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/28483712

EMJ October 2023 10/20/2023

EMJ October 2023 This month Susie and Raj discuss a paper called You may think that the consultants are great, and they know everything, but they don't, exploring how new emergency medicine consultants experience uncertainty. And then in the 2nd part of this months podcast Noel and Stephen discuss a systematic review called Why is pain management so difficult in the emergency department /episode/index/show/rcemlearning/id/28376612

October 2023 10/02/2023

October 2023 This month for the October 2023 episode of the RCEM Learning Podcast we’ve got a New in EM segment looking at the CT FIRST study looking at routine head-to-pelvis CT scan post-arrest. We then move to an RCEM ASC Interview Megamix where I have a chat with ten presenters from this week's RCEM ASC about their work. We then end with New Online. If you'd like to email us, please feel free to do so . (02:54) New in EM - Routine post-arrest head-to-pelvis CT scanning (15:27) RCEM ASC Interview Megamix (15:30) Chelcie Jewitt - Challenging the culture of sexism and sexual misconduct in healthcare (22:02) Jamie Morrison - Tayside Flow Project (31:00) Ed Carlton - The RELIEF Trial (40:08) Heidi Edmondsen - Measuring the clouds: what's stopping us from improving staff wellness? (48:28) Mo Al-Haddad - Differential attainment and well-being amongst IMGs (01:00:15) James Van Oppen - Person Centred GEM - evidence and application (01:10:10) David Lowe and Alex Novak - AI & EM (01:23:52) Harriet Tucker and Lisa Ramage - The TETRIS Project (01:33:02) David Lowe - The Trauma App (01:41:15) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/28196390

September 2023 09/05/2023

September 2023 This month for the September 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the SQUID protocol for DKA. We then move from last month's discussion on Head Injuries and move to Concussion and speak to two experts on the topic and how we can improve our management of this underdiagnosed condition. We then have a discussion with Dan Horner discussing the physiologically difficult airway and we then end with New Online. If you'd like to email us, please feel free to do so . (02:30) New in EM - The SQUID Protocol for DKA (13:54) Adam White and Nathan Howarth - Concussion (52:38) Daniel Horner - The Physiologically Difficult Airway (01:25:13) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/27933363

EMJ August 2023 08/21/2023

EMJ August 2023 Susie and Raj discuss the Evaluation of microMend wound closure device in repairing skin lacerations /episode/index/show/rcemlearning/id/27808833

August 2023 08/01/2023

August 2023 This month for the August 2023 episode of the RCEM Learning Podcast we’ve got a New in EM segment looking at the STANDING Algorithm in Vertigo. We then continue hearing from Becky & Chris about the new NICE head injury guidelines which is the exciting conclusion to our two parter. We then have a discussion with Steve Black discussing the history of ED performance. We rejoin Andy & Dave for a New in EM looking at the use of take-away topical anaesthetics in corneal abrasion and then end with New Online. If you'd like to email us, please feel free to do so . (02:24) New in EM - The STANDING Protocol for Vertigo (24:01) Guidelines for EM - NICE CT Head Injury (Part 2 of 2) (01:01:56) Steve Black - A Brief History of ED Performance (01:18:20) New in EM - TTA Topical Anaesthetics in Corneal Abrasion (01:29:10) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/27623595

EMJ July 2023 07/21/2023

EMJ July 2023 This month we look at a paper dealing with Performance of a prehospital HEART score in patients with possible myocardial infarction a prospective evaluation and also one on methocarbamol vs diazepam in management of acute lower back pain /episode/index/show/rcemlearning/id/27527706

July 2023 07/04/2023

July 2023 This month for the July 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the highly publicised PATCH-trauma trial looking at the use of TXA in trauma. We then hear from Becky & Chris about the new NICE head injury guidelines which is the first in a two parter. We then have more Dave McCreary-related content as he speaks with Joseph Mathew about High Acuity Low Occurrence procedures, and then end with New Online. If you'd like to email us, please feel free to do so . /episode/index/show/rcemlearning/id/27366048

EMJ June 2023 06/19/2023

EMJ June 2023 This month we discuss Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out of hospital cardiac arrest, Spiking and Blunt chest wall trauma /episode/index/show/rcemlearning/id/27191070

June 2023 06/01/2023

June 2023 This month for the June 2023 episode of the RCEM Learning Podcast we’ve got two New in EM segments looking at the use of end-tidal CO2 at triage and looking at positioning for lumbar punctures. We then hear from Becky & Chris about a guideline for nitrous oxide toxicity. We then speak with Dani Hall about her practice changing papers in PEM, and then end with New Online. If you'd like to email us, please feel free to do so . (02:16) New in EM - End-tidal carbon dioxide monitoring at triage (17:27) Guidelines for EM - Nitrous Oxide (50:44) New in EM - Optimal positioning for LPs (01:04:49) Dani Hall - Practice Changing Papers in PEM (01:24:02) New Online – new articles on RCEMLearning for your CPD /episode/index/show/rcemlearning/id/27011754

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