Safety of ED sedation

Sedation is becoming an ever more significant part of our work in the Emergency Department. At the end of May 2016 the Royal College of Emergency Medicine Published the RCEM Sedation Audit of 2015-2016 that covered more than 8,000 ED sedations throughout the UK (involving more than 190 ED's). There are some pearls to take out of this [...]

July 2016

Some of the papers that caught our eye this month..... So you think you're quick at tubing those ED patients, but are you?? Human factors in the emergency department: Is physician perception of time to intubation and desaturation rate accurate? Cemalovic N, et al. Emerg Med Australas. 2016. When getting it right first time matters the [...]

Papers of June

Here's a look at some of the papers that caught our eye this month. We have a look at papers covering CT head imaging in delayed presentations, risk stratifying TIAs, early administration of fluids in severe sepsis and most importantly the utility of a biro in a surgical airway....... Make sure you go and have [...]

June 2016

Some of the papers that caught our eye this month..... What does Ketamine really do to your haemodynamics on induction? Hemodynamic Response After Rapid Sequence Induction With Ketamine in Out-of-Hospital Patients at Risk of Shock as Defined by the Shock Index. Miller M, et al. Ann Emerg Med. 2016 Can we predict outcome of a patient with drowning? [...]

Papers of May 2016

Here's a look at some of the papers that caught our eye this month. We have a look at patient positioning for RSI, the implication of hypothermia on arrival in the ED and the reliability of clinical assessment of syncope in our elderly patients. Make sure you go and have a look at the papers [...]

Talk from EMCEF 22

So this is a talk I gave at the EMCEF 22 conference. This covers a few of the papers we've discussed in the last 6 months on the podcast but a bit of spaced repetition is never a bad thing! We'll be running through topics on heart failure, sedation, intubation, anaphylaxis and duration of cardiac arrest. The [...]

Carbon Monoxide

Carbon Monoxide poisoning is definitely one of those differentials that you consider when the patients books into ED with '?carbon monoxide poisoning'...... but how much do we really think about it in a patient that hasn't been sent down to the ED with this specific thought in mind. Rob Fenwick talks us through the key [...]

Trauma in the ED

So we were lucky enough to be asked to cover the Trauma Care Conference and specifically today's day focussing on Major Trauma in the Emergency Department. We managed to to get a few minutes of time from some of the superb speakers and get their  take home messages from their talks. Enjoy! Relevant Resources TraumaCare PHEMCAST  [...]

REBOA

In this episode we were lucky enough to catch up with Sam Sadek, EM Consultant at The Royal London hospital and HEMS doctor and also Zaf Qasim EM Consultant in Delaware in the United States. Both have been heavily involved in the setup and delivery of REBOA service in their respective posts. In this podcast [...]