EMJ Podcast

Primary Survey: the highlights of February 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the February 2018 edition of the Emergency Medicine Journal, this month, picked by Simon himself.
Read the primary survey here: http://emj.bmj.com/content/35/2/73
Details of the papers mentioned in this podcast can be found below:
Understanding cardiac troponin part 1: avoiding troponinitis - http://emj.bmj.com/content/35/2/120
Calculating the proportion of avoidable attendances at UK emergency departments: analysis of the Royal College of Emergency Medicine’s Sentinel Site Survey data -
http://emj.bmj.com/content/35/2/114
Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards - http://emj.bmj.com/content/35/2/108
Pre-emptive ice cube cryotherapy for reducing pain from local anaesthetic injections for simple lacerations: a randomised controlled trial - http://emj.bmj.com/content/35/2/103
Use of the low-frequency/high-frequency ratio of heart rate variability to predict short-term deterioration in emergency department patients with sepsis - http://emj.bmj.com/content/35/2/96
Utility of prehospital electrocardiogram characteristics as prognostic markers in out-of-hospital pulseless electrical activity arrests - http://emj.bmj.com/content/35/2/89
A traumatic tale of two cities: does EMS level of care and transportation model affect survival in patients with trauma at level 1 trauma centres in two neighbouring Canadian provinces? - http://emj.bmj.com/content/35/2/83
Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden? - http://emj.bmj.com/content/35/2/79
Alcohol identification and intervention in English emergency departments - http://emj.bmj.com/content/35/2/75
Taking control of alcohol-related emergency department visits - http://emj.bmj.com/content/35/2/74
Read the full February issue of EMJ here: emj.bmj.com/content/35/2

Primary Survey: the highlights of January 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the January 2018 edition of the Emergency Medicine Journal, this month, picked by Ellen Webber (Editor-in-Chief, University of California, San Francisco, USA).
Read the primary survey here: http://emj.bmj.com/content/35/1/1.
Details of the papers mentioned in this podcast can be found below:
Impact of Physician Navigators on productivity indicators in the ED - http://emj.bmj.com/content/35/1/5
Tackling the demand for emergency department services: there are no silver bullets - http://emj.bmj.com/content/35/1/3
Emergency consultants value medical scribes and most prefer to work with them, a few would rather not: a qualitative Australian study - http://emj.bmj.com/content/35/1/12
Can an observational pain assessment tool improve time to analgesia for cognitively impaired older persons? A cluster randomised controlled trial - http://emj.bmj.com/content/35/1/33
Failure of falls risk screening tools to predict outcome: a prospective cohort study - http://emj.bmj.com/content/35/1/28
PREDICT prioritisation study: establishing the research priorities of paediatric emergency medicine physicians in Australia and New Zealand - http://emj.bmj.com/content/35/1/39
Profile and outcomes of critically ill children in a lower middle-income country - http://emj.bmj.com/content/35/1/52
Characteristics of youth agreeing to electronic sexually transmitted infection risk assessment in the emergency department - http://emj.bmj.com/content/35/1/46
Waveform capnography: an alternative to physician gestalt in determining optimal intubating conditions after administration of paralytic agents - http://emj.bmj.com/content/35/1/62
Read the full January issue of EMJ here: http://emj.bmj.com/content/35/1

Primary Survey: the highlights of the October 2017 issue of the Emergency Medicine Journal

Simon Carley, Associate Editor of EMJ, talks through the highlights of the October 2017 edition of the Emergency Medicine Journal, this month, picked by Richard Body (Emergency Department, Manchester Royal Infirmary, Manchester, UK).
Read the primary survey: http://emj.bmj.com/content/34/10/633.
Details of the papers mentioned in this podcast can be found below:
The use of whole-body computed tomography in major trauma: variations in practice in UK trauma hospitals - http://emj.bmj.com/content/34/10/647
Non-traumatic incidental findings in patients undergoing whole-body computed tomography at initial emergency admission - emj.bmj.com/content/34/10/643
Whole body computed tomography for trauma: friend or foe? - http://emj.bmj.com/content/34/10/635
Extreme event medicine: considerations for the organisation of out-of-hospital care during obstacle, adventure and endurance competitions http://emj.bmj.com/content/34/10/680
Ibuprofen versus placebo effect on acute kidney injury in ultramarathons: a randomised controlled trial - http://emj.bmj.com/content/34/10/637
Gender, race and the presentation of acute coronary syndrome and serious cardiopulmonary diagnoses in ED patients with chest pain - http://emj.bmj.com/content/34/10/653
Primary care services co-located with Emergency Departments across a UK region: early views on their development - http://emj.bmj.com/content/34/10/672
Read the full October issue of EMJ: http://emj.bmj.com/content/34/10.

August 2017’s Primary Survey

Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2017 edition of the Emergency Medicine Journal.
Read the primary survey here: emj.bmj.com/content/34/8/491
Details of the papers mentioned on this podcast can be found below:
Clinical relevance of pharmacist intervention in an emergency department - emj.bmj.com/content/34/8/495
Developing a decision rule to optimise clinical pharmacist resources for medication reconciliation in the emergency department - emj.bmj.com/content/34/8/502
Emergency medicine pharmacists on an international scale - emj.bmj.com/content/34/8/492
‘Major trauma’: now two separate diseases? - emj.bmj.com/content/34/8/494
Traumatic brain injuries in older adults—6 years of data for one UK trauma centre: retrospective analysis of prospectively collected data - emj.bmj.com/content/34/8/509
Validating the Manchester Acute Coronary Syndromes (MACS) and Troponin-only Manchester Acute Coronary Syndromes (T-MACS) rules for the prediction of acute myocardial infarction in patients presenting to the emergency department with chest pain - emj.bmj.com/content/34/8/517
A practical approach to Events Medicine provision - emj.bmj.com/content/34/8/538
BET 1: Lidocaine with propofol to reduce pain on injection - http://emj.bmj.com/content/34/8/551.2
BET 2: Poor evidence on whether teaching cognitive debiasing, or cognitive forcing strategies, lead to a reduction in errors attributable to cognition in emergency medicine students or doctors - http://emj.bmj.com/content/34/8/553
Read the full August issue here: emj.bmj.com/content/34/8

July 2017’s Primary Survey

Simon Carley, Associate Editor of EMJ, talks through the highlights of the July 2017 edition of the Emergency Medicine Journal.
Read the primary survey here: http://emj.bmj.com/content/34/7/427
Details of the papers mentioned on this podcast can be found below:
The key to resilient individuals is to build resilient and adaptive systems - http://emj.bmj.com/content/34/7/428
Emergency medicine: what keeps me, what might lose me? A narrative study of consultant views in Wales - http://emj.bmj.com/content/34/7/436
The psychological health and well-being of emergency medicine consultants in the UK - http://emj.bmj.com/content/34/7/430
Satisfaction, burnout and intention to stay of emergency nurses in Shanghai - http://emj.bmj.com/content/34/7/448
Occupational stress in the ED: a systematic literature review - http://emj.bmj.com/content/34/7/441
Can a partnership between general practitioners and ambulance services reduce conveyance to emergency care? - http://emj.bmj.com/content/34/7/459
Relationship between oxygen concentration and temperature in an exothermic warming device - http://emj.bmj.com/content/34/7/472
The barriers associated with emergency medical service use for acute coronary syndrome: the awareness and influence of an Australian public mass media campaign - http://emj.bmj.com/content/34/7/466
Read the full July issue here: http://emj.bmj.com/content/34/7?current-issue=y

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.