EMJ Podcast

EMJ Podcast

The Emergency Medicine Journal (EMJ) podcast is your premier source for the latest insights and developments in pre-hospital, hospital emergency medicine and critical care. Join the EMJ journal’s Deputy Editor and Social Media Editor each month as they discuss key highlights from the latest issue. EMJ - emj.bmj.com - is an international journal from the BMJ Group and the Royal College of Emergency Medicine (RCEM) covering developments and advances in emergency medicine and acute care. Stay informed with expert discussions and cutting-edge information by subscribing or listening on your favourite podcast platform. Podcast hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK * The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

  1. FEB 5

    Improving sex and gender equity, rapid virus testing and saline injections for pain relief: February 2025 Primary Survey

    Another packed issue of the journal this month, and a podcast to match. Starting off with the Editor's Choice paper, on the important topic of sex and gender disaggregation in emergency medicine trials. Sex and Gender Equity Reporting (SAGER) guidelines were introduced in 2016 but poor adherence is still found in current publications. Next is a paper with high seasonal relevance, addressing the sensitivity and specificity of multiplex lateral flow tests for Flu A, Flu B and COVID 19. There's also a randomised controlled trial on nebulised corticosteroids for asthma exacerbation, and to finish, a question few might think to ask - can intradermal injection of sterile water offer pain relief to renal colic patients?   Read the highlights: February 2025 Primary Survey   Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review Sex and gender reporting in scientific papers now strongly recommended by the Emergency Medicine Journal Multiplex lateral flow test sensitivity and specificity in detecting influenza A, B and SARS-CoV-2 in adult patients in a UK emergency department  Nebulised high-dose corticosteroids as add-on therapy for adults with asthma exacerbation: a randomised controlled trial Best evidence topic report: can intradermal sterile water injections provide effective pain relief in patients with renal colic?   The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

    28 min
  2. JAN 7

    Warzone mentality in the ED, and finding balance with hospital pre-alerts: January 2025 Primary Survey

    It's a celebration of qualitative research to start the new year, with a collection of papers offering new perspectives on emergency department issues. First is a pair of papers centred on the theme of pre-alerts to the emergency department. Setting the scene for a patient's arrival is a vital process, yet it can generate fear of criticism for getting the balance wrong, when it comes to over- and under-alerting. Following on is a paper taking a look at the human experience of working in the emergency department, and the war-like atmosphere that can be found there. This leads to the final paper on well-being interventions in the ED, with interviews having found real limitations to current approaches.   Read the issue highlights: January 2025 Primary Survey   How do emergency departments respond to ambulance pre-alert calls? A qualitative exploration of the management of pre-alerts in UK emergency departments What influences ambulance clinician decisions to pre-alert emergency departments: a qualitative exploration of pre-alert practice in UK ambulance services and emergency departments  It’s a battlefield! A thematic analysis of narratives shared in Cape Town emergency departments Well-being interventions for emergency department staff: ‘necessary’ but ‘inadequate’ – a phenomenographic study   The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

    30 min
  3. 12/03/2024

    Compelling evidence for rule-out of subarachnoid haemorrhage and aortic dissection: December 2024 Primary Survey

    Subarachnoid haemorrhage is a diagnosis that can't be missed, but it is not a simple process to detect it. The first paper for discussion this month questions if a CT scan within 6 hours is sufficient for exclusion in patients with acute headache. Then there is a large-scale analysis of over 400 million ED visits in the USA, focussing in on the significant issue of self-harm in the homeless population. Next is a paper on a decision tool for suspected acute aortic syndrome, and to finish, a discussion on the change in ED culture around safety since the COVID pandemic.   Read the issue highlights: December 2024 Primary Survey   Articles discussed in this episode: Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study Suicide and self-injury-related emergency department visits and homelessness among adults 25–64 years old from 2016 to 2021 in the USA  Decision analytical modelling of strategies for investigating suspected acute aortic syndrome  Culture of safety in an adult and paediatric emergency department before and after the COVID-19 pandemic   The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

    26 min
  4. 11/01/2024

    Missing elbow fractures, and consulting the elders: November 2024 Primary Survey

    Upper limb injuries make up about three-quarters of the limb injuries to children seen in the emergency department. But when it comes to the elbow, just how good are clinicians at diagnosing based on radiography? The first paper this month is a study putting over 300 global participants to the test. There's also a practice review highlighting the concept of shared decision making with frail elderly patients, a discussion of biomarkers for aortic dissection detection, more on telephone triage, and an interesting questionnaire on patient experience. Read the issue highlights: November 2024 Primary Survey Articles discussed in this episode: Black and white: how good are clinicians at diagnosing elbow injuries from paediatric elbow radiographs alone? Person-centred decisions in emergency care for older people living with frailty: principles and practice Use of emergency departments by children and young people following telephone triage: a large database study The wisdom of elders: a new patient experience survey for older patients could tell us how to fix our emergency departments for everyone Psychometric validation of a patient-reported experience measure for older adults attending the emergency department: the PREM-ED 65 study Diagnostic accuracy of alternative biomarkers for acute aortic syndrome: a systematic review Links: Understanding escalation area and corridor care in UK emergency departments (UNCORKED) The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

    30 min
  5. 10/01/2024

    Ranking anaesthesias for wrist fracture, and finding pneumothoraces with AI: October 2024 Primary Survey

    There's a whole pile of blocks in this month's papers, with the first being a trial of Erector-Spinae Plane (ESP) blocks, not for rib fractures as you might expect but Hepato-Pancreato-Biliary (HPB) pain instead. Following on from that is a retrospective study comparing the resource utilisation of haematoma blocks, Bier’s blocks and procedural sedation for patients with forearm fractures. The next paper sets the performance of unassisted radiographers against those armed with artificial intelligence algorithms when diagnosing pneumothorax, and the results show an interesting demographic trend. Concluding the discussion topics this month is a letter regarding "on-scene time" for ambulances when assessing patients for suspected stroke - a situation where every minute counts. Read the issue highlights: October 2024 Primary SurveyArticles discussed in this episode: EASIER trial (Erector-spinAe analgeSia for hepatopancreaticobiliary pain In the Emergency Room) Haematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study Evaluation of the impact of artificial intelligence-assisted image interpretation on the diagnostic performance of clinicians in identifying pneumothoraces on plain chest X-ray: a multi-case multi-reader study  On-scene times during ambulance assessment of suspected stroke patients across England from December 2021 to November 2022 The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

    33 min
  6. 08/02/2024

    When to CT scan after a seizure, and indirect signs of appendicitis: August 2024 Primary Survey

    The recovery of laceration repair patients is the topic of this month's first paper, looking at behavioural disturbances in children following these difficult medical procedures. The second paper deals with pre-hospital use of tranexamic acid for trauma, and surfaces some demographic discrimination in its rates of application. Next there is an observational study which has developed a score for indirect signs of appendicitis on ultrasounds where the appendix is not visualised. Finishing off the episode is a "Best Evidence" report, dealing with the appropriate usage of CT scans on patients first presenting with a seizure.   Read the issue highlights: August 2024 Primary Survey   Articles discussed in this episode: Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes Evaluation of the prehospital administration of tranexamic acid for injured patients: a state-wide observational study with sex and age-disaggregated analysis Predictive values of indirect ultrasound signs for low risk of acute appendicitis in paediatric patients without visualisation of the appendix on ultrasound Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure?    The EMJ podcast is hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

    33 min

About

The Emergency Medicine Journal (EMJ) podcast is your premier source for the latest insights and developments in pre-hospital, hospital emergency medicine and critical care. Join the EMJ journal’s Deputy Editor and Social Media Editor each month as they discuss key highlights from the latest issue. EMJ - emj.bmj.com - is an international journal from the BMJ Group and the Royal College of Emergency Medicine (RCEM) covering developments and advances in emergency medicine and acute care. Stay informed with expert discussions and cutting-edge information by subscribing or listening on your favourite podcast platform. Podcast hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK * The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

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