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

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)

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