EMJ Podcast

June 2017’s Primary Survey

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 syndromic surveillance to investigate the health impact and factors associated with alcohol intoxication in Reunion Island - http://emj.bmj.com/content/34/6/386
Violence-related ambulance call-outs in the North West of England: a cross-sectional analysis of nature, extent and relationships to temporal, celebratory and sporting events - http://emj.bmj.com/content/34/6/364
Read the full June issue here: http://emj.bmj.com/content/34/6?current-issue=y

May 2017’s Primary Survey

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 from the emergency department - http://emj.bmj.com/content/34/5/289;
Extracorporeal cardiopulmonary resuscitation probably good, but adoption should not be too fast and furious! - http://emj.bmj.com/content/34/5/275;
Emergency extracorporeal life support and ongoing resuscitation: a retrospective comparison for refractory out-of-hospital cardiac arrest -
http://emj.bmj.com/content/34/5/277;
Progressive prediction of hospitalisation in the emergency department: uncovering hidden patterns to improve patient flow - http://emj.bmj.com/content/34/5/308.

Detecting human trafficking: a life-saving diagnosis in the emergency department

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.

April 2017’s Primary Survey

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.

March 2016’s Primary Survey

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 http://emj.bmj.com/content/34/3/138
Read the full issue here: http://emj.bmj.com/content/34/3
For the highlights of the issue click here: http://emj.bmj.com/content/34/3/127.

February 2017’s Primary Survey

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 diabetes: a systematic review and meta-analysis - http://emj.bmj.com/content/34/2/100.
Read the full issue here: http://emj.bmj.com/content/34/2#Primarysurvey.
For the highlights of the issue click here: http://emj.bmj.com/content/34/2/67.

November 2016’s Primary Survey

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 emergency care usage: new estimates from 40 countries - http://emj.bmj.com/content/33/11/794.abstract
Best Bets:
BET 1: Tranexamic acid in epistaxis: who bloody nose? - http://emj.bmj.com/content/33/11/823.2.full
BET 2: Usefulness of IV lidocaine in the treatment of renal colic - http://emj.bmj.com/content/33/11/825.full
Discussed blog articles:
Nuances of Neurogenic Shock - http://blogs.bmj.com/emj/2016/11/04/nuances-of-neurogenic-shock/
The weekend effect. Part 1 - http://blogs.bmj.com/emj/2016/10/28/645/
The weekend effect: Part 2 – a traumatic time! - http://blogs.bmj.com/emj/2016/10/29/the-weekend-effect-part-2-a-traumatic-time/

That old weekend effect!

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.

October 2016’s Primary Survey

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.

September 2016’s Primary Survey

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 emergency department assessment of chest pain score accelerated diagnostic pathway (EDACS-ADP) - http://emj.bmj.com/content/33/9/618.abstract
For all the content from the issue, see:
emj.bmj.com/content/33/9.toc