EMJ Podcast

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

August 2016’s Primary Survey

Simon Carley and and Richard Body, EMJ associate editors, talks you through the highlights of the August 2016's EMJ, including a retrospective cohort study which puts nurses vs. computer, by evaluating the accuracy of a Japanese triage algorithm (JTAS) and the debate around paediatric procedural sedation in the Emergency Department in the UK. This podcast also answers the question: how likely are doctors to be sued, based on their empathy with patients.
For all the content from the issue, see:
http://emj.bmj.com/content/33/8.toc

June 2016’s Primary Survey

In this podcast Simon Carley discusses the highlights from June's issue with Mary Dawood, a consultant nurse in emergency medicine at Imperial College London.

May 2016’s Primary Survey

In this podcast Simon Carley discusses the highlights from May's issue of EMJ.

April 2016’s Primary Survey

In this podcast Simon Carley and Ellen Weber discuss the highlights from April's issue of EMJ focused on error.

March 2016’s Primary Survey

Simon Carley and Rick Body, EMJ associate editors, talk you through the highlights of March's EMJ.
For all the content from the issue, see:
emj.bmj.com/content/33/3.toc#Primarysurvey