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.

February 2017’s Primary Survey

Simon Carley talks through the highlights of the February 2017's EMJ. Among the highlights 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.