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.

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.abstract