EMJ Podcast

Primary Survey: the highlights of November 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the November 2018 edition of the Emergency Medicine Journal, this month chosen by Associate Editor Professor Rick Body.
Read the primary survey here: emj.bmj.com/content/35/11/651
Details of the papers mentioned in this podcast can be found below:
Managing accidental hypothermia: a UK-wide survey of prehospital and search and rescue providers - emj.bmj.com/content/35/11/652
Managing accidental hypothermia: progress but still some way to go - emj.bmj.com/content/35/11/657
Characteristics and outcomes of accidental hypothermia in Japan: the J-Point registry - emj.bmj.com/content/35/11/659
Indoor accidental hypothermia in the elderly: an emerging lethal entity in the 21st century - emj.bmj.com/content/35/11/667
Paediatric traumatic cardiac arrest: the development of an algorithm to guide recognition, management and decisions to terminate resuscitation - emj.bmj.com/content/35/11/669
Defining significant childhood illness and injury in the Emergency Department: a consensus of UK and Ireland expert opinion - emj.bmj.com/content/35/11/685
Understanding better how emergency doctors work. Analysis of distribution of time and activities of emergency doctors: a systematic review and critical appraisal of time and motion studies - emj.bmj.com/content/35/11/692
Read the full November 2018 issue of EMJ here: emj.bmj.com/content/35/11

More evidence needed to divert patients from emergency departments

The systematic review discussed in this podcast outlines inconclusive evidence for the effectiveness of diversion strategies on emergency department use and healthcare utilisation.
Dr Brian Rowe, from the Department of Emergency Medicine, University of Alberta, Canada, tells Editor-in-Chief of EMJ Professor Ellen Weber other strategies are needed to address ED overcrowding.
Read the paper at http://emj.bmj.com/lookup/doi/10.1136/emermed-2017-207045.
Related articles:
The patient’s dilemma: attending the emergency department with a minor illness (https://www.bmj.com/content/357/bmj.j1941);
Low-acuity presentations to the emergency department in Canada: exploring the alternative attempts to avoid presentation (https://emj.bmj.com/content/34/4/249).

Primary Survey: the highlights of August 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2018 edition of the Emergency Medicine Journal.
Read the primary survey here: emj.bmj.com/content/35/8/461
Details of the papers mentioned in this podcast can be found below:
Fluid therapy in the emergency department: an expert practice review - emj.bmj.com/content/35/8/511
Intravenous cefazolin plus oral probenecid versus oral cephalexin for the treatment of skin and soft tissue infections: a double-blind, non-inferiority, randomised controlled trial - emj.bmj.com/content/35/8/492
Efficacy of scheduled return visits for emergency department patients with non-specific abdominal pain - emj.bmj.com/content/35/8/499
Application of outpatient cardiac testing among emergency department patients with syncope - emj.bmj.com/content/35/8/486
Diagnostic yield of an ambulatory patch monitor in patients with unexplained syncope after initial evaluation in the emergency department: the PATCH-ED study - emj.bmj.com/content/35/8/477
Prehospital neurological deterioration in stroke - emj.bmj.com/content/35/8/507
Development and validation of an admission prediction tool for emergency departments in the Netherlands - emj.bmj.com/content/35/8/464
Read the full August 2018 issue of EMJ here: https://emj.bmj.com/content/35/8

Primary Survey: the highlights of July 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the July 2018 edition of the Emergency Medicine Journal, this month, chosen by Deputy Editor, Ian K Maconochie.
Read the primary survey here: emj.bmj.com/content/35/7/403
Details of the papers mentioned in this podcast can be found below:
Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey - emj.bmj.com/content/35/7/406
Effects of hallway/corridor and companions on clinical encounters: a possible explanation - emj.bmj.com/content/35/7/404
Essential medicines for emergency care in Africa - emj.bmj.com/content/35/7/412
End-tidal carbon dioxide output in manual cardiopulmonary resuscitation versus active compression-decompression device during prehospital quality controlled resuscitation: a case series study - emj.bmj.com/content/35/7/428
Risk stratifying chest pain patients in the emergency department using HEART, GRACE and TIMI scores, with a single contemporary troponin result, to predict major adverse cardiac events - emj.bmj.com/content/35/7/420
Read the full July issue of EMJ here: emj.bmj.com/content/35/7

Primary Survey: the highlights of June 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2018 edition of the Emergency Medicine Journal, this month, chosen by Associate Editor, Edward Carlton.
Read the primary survey here: emj.bmj.com/content/35/6/341
Details of the papers mentioned in this podcast can be found below:
Editor's choice: Comparison of qSOFA with current emergency department tools for screening of patients with sepsis for critical illness - emj.bmj.com/content/35/6/350
Editor's choice: qSOFA, SIRS and NEWS for predicting inhospital mortality and ICU admission in emergency admissions treated as sepsis - emj.bmj.com/content/35/6/345
Editor's choice: Sepsis-3 and simple rules - emj.bmj.com/content/35/6/343
MRSA nares swab is a more accurate predictor of MRSA wound infection compared with clinical risk factors in emergency department patients with skin and soft tissue infections - emj.bmj.com/content/35/6/357
Outpatient management of children at low risk for bacterial meningitis - emj.bmj.com/content/35/6/361
Gender and survival from out-of-hospital cardiac arrest: a New Zealand registry study - emj.bmj.com/content/35/6/367
Inter-rater and intrarater reliability of the South African Triage Scale in low-resource settings of Haiti and Afghanistan - emj.bmj.com/content/35/6/379
Validity of the Japan Acuity and Triage Scale in adults: a cohort study - emj.bmj.com/content/35/6/384
Marauding terrorist attack (MTA): prehospital considerations -emj.bmj.com/content/35/6/389
Read the full June issue of EMJ here: emj.bmj.com/content/35/6

Primary Survey: the highlights of May 2018

Simon Carley, Associate Editor of EMJ, talks through the highlights of the May 2018 edition of the Emergency Medicine Journal, this month, chosen by our Associate Editor, Caroline Leech.
Read the primary survey here: emj.bmj.com/content/35/5/279
Details of the papers mentioned in this podcast can be found below:
Editor's choice: Lack of efficacy in a randomised trial of a brief intervention to reduce drug use and increase drug treatment services utilisation among adult emergency department patients over a 12-month period - emj.bmj.com/content/35/5/282
Absence of a quick fix does not mean ‘do nothing:’ time to address drug use in the ED - emj.bmj.com/content/35/5/280
New decision formulas for predicting endotracheal tube depth in children: analysis of neck CT images - emj.bmj.com/content/35/5/303
What is positionality and should it be expressed in quantitative studies? - emj.bmj.com/content/35/5/323
Modelling attending physician productivity in the emergency department: a multicentre study - emj.bmj.com/content/35/5/317
Impact of emergency department surge and end of shift on patient workup and treatment prior to referral to internal medicine: a health records review - emj.bmj.com/content/35/5/309
Comparison of epidemiology, treatments and outcomes of ST segment elevation myocardial infarction between young and elderly patients - emj.bmj.com/content/35/5/289
Image challenge: acute chest pain after tooth extraction
- emj.bmj.com/content/35/5/332
Read the full May issue of EMJ here: https://emj.bmj.com/content/35/5

March 2018: celebrating 50 years of Emergency Medicine in the UK

Richard Body, EMJ Deputy Editor, and Simon Carley, EMJ Associate Editor, talk through the highlights of the March 2018 edition of the journal, celebrating 50 years of the UK's Emergency Medicine.
It is a special podcast presenting a collection of amazing articles that tell the story of where we have come from, where we are and where we are going. It's not all opinion though. We have some fantastic papers this month including an RCT on the use of ice to reduce the pain of laceration repair (Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial - emj.bmj.com/content/35/3/179).
Read the primary survey here: emj.bmj.com/content/35/3/135
Details of the other papers mentioned in this podcast can be found below:
Being a pioneer in emergency medicine - emj.bmj.com/content/35/3/142
Emergency medicine research: how far have we come and where are we heading? - emj.bmj.com/content/35/3/149
How can emergency physicians harness the power of new technologies in clinical practice and education? - emj.bmj.com/content/35/3/156
Looking back and forward: emergency medicine in its 50th year - emj.bmj.com/content/35/3/137
The feasibility of an interactive voice response system (IVRS) for monitoring patient safety after discharge from the ED - emj.bmj.com/content/35/3/180
Understanding cardiac troponin part 2: early rule out of acute coronary syndrome - emj.bmj.com/content/35/3/192
Ionised calcium levels in major trauma patients who received blood en route to a military medical treatment facility - emj.bmj.com/content/35/3/176
Read the full March issue of EMJ here: emj.bmj.com/content/35/3.

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.