This month we’ve got a New in EM looking at the use of morphine and midazolam in heart acute failure. We return to the second part of our two-part procedural sedation megamix. We speak to the organisers of the Trainee Research Engagement Day and the Emergency Medicine Trainee Association Survey Lead. Finally, we return to New Online with some new articles for your CPD. If you'd like to email us, please feel free to do so here.

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(01:55) New in EM – Morphine vs. Midazolam in Heart Failure

• - Midazolam versus morphine in acute cardiogenic pulmonary oedema: results of a multicentre, open‐label, randomized controlled trial

(08:45) Guidelines for EM – Procedural Sedation (Part 2)

• RCEM Procedural Sedation Guidelines

(42:55) Trainee Research Engagement Day - Talking with Thomas Shanahan and Anisa Jafar

• Get your tickets to the Trainees Research Engagement Day

(50:40) Findings from the EMTA Survey

• The EMTA Survey
• Twitter Infographics

(57:21) New Online – new articles on RCEMLearning for your CPD

• Future-Proofing PEM - Liz Herrieven
• RCEM ASC 2022 - Swagat Mishra and Gowthami Veera
• Chronic Obstructive Pulmonary Disease - Katie Manning

This month we’ve got a New in EM looking at IV paracetamol, look at some guidelines for sedation, we have the second part of the highlights from the Thames Valley Air Ambulance Cardiac Arrest symposium, and finish off with some more articles in New Online.

(02:25) New in EM – IV paracetamol and morphine use

• Intravenous acetaminophen does not reduce morphine use for pain relief in emergency department patients: A multicenter, randomized, double‐blind, placebo‐controlled trial
• Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial

(10:49) Guidelines for EM – Procedural Sedation (Part 1)

• RCEM Procedural Sedation Guidelines

(48:54) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium - Part Two

• Thames Valley Air Ambulance Cardiac Arrest Symposium
• (49:05) Post-ROSC management – Asher Lewinsohn
• (55:40) What happens in the cath lab? – Andrew Lucking

(59:09) New Online – new articles on RCEMLearning for your CPD

• Trans101: Avoiding a Trans Emergency – Ethan Wilson
• Transgender Healthcare: Caring for Trans Patients (FutureLearn Course)
• Notifiable Diseases – Ines Corcuera Hotz and Grace George
• Local Anaesthetics – Graham Gardner

This month Susie and Rajesh talk about Emergency Physicians experience of stress during resuscitation and strategies for mitigating the effects of stress on performance

xThis month we’ve got a New in EM examining the use of fluids in RSI, look at a guideline for caring for patients with a learning disability, bring you the highlights of the Thames Valley Air Ambulance Cardiac Arrest Symposium, and then bring you some new articles for New Online.

(01:46) New in EM – Fluids in RSI

• Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial
• Safety of the Peripheral Administration of Vasopressor Agents

(09:02) Guidelines for EM – Acute medical care for people with a learning disability

• Acute care toolkit 16: Acute medical care for people with a learning disability

(54:26) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium

• Thames Valley Air Ambulance Cardiac Arrest Symposium
• (54:57) James Raitt – Defibrillation Strategies
• (58:38) Darren Best and Mark Hodkinson – Improving cardiac arrest management at a local level
• (01:01: 59) Rory Saggers – Experiences from London Advanced Paramedic Practitioners
• (01:06:15) Paul Rees – Haemodynamic guided CPR and REBOA
• (01:10:15) Iain Carroll – ECMO CPR
• (01:16:48) Rupert Simpsons – Cardiac Arrest Centres

(01:22:05) New Online – new articles on RCEMLearning for your CPD

• Creative Careers in Emergency Medicine Part 1 – Career Longevity - Lois Brand
• Management of STEMI and its Complications - Jason Kendall
• EM Quizzes

Graham Johnson and Ewan Barron discuss predictors of hospital prenotification for STEMI and association of prenotification with outcomes

This month we discuss Laryngospasm in paediatric sedation | Case Based Discussions | Use of Non-Sterile Gloves for Wound Closure | and new online material from RCEMearning 

This month we’ve got two New in EM papers, delve into two meaty Case Based Discussions and discuss some new articles in New Online. Be sure to check out the papers and links below!

(01:30) New in EM – Laryngospasm in paediatric sedation

• Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation

(17:17) Case Based Discussions (42:55) New in EM – Non-sterile gloves for wound closure

• Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial

Commentary by Metcalfe et al

(52:36) New Online – new articles on RCEMLearning for your CPD

• Incivility in the ED - Nicki Credland, Dan Derbyshire
• Uncommon Nerve Entrapment Syndromes - Jules Blackham
• Sexual Assault Aftercare in the Emergency Department - Ellisiv Clarke, Michelle Tun

This month Noel and Stephen talk about paediatric fractures

This month we’ve got two New in EM papers, we look at a scaphoid fracture guideline, explore the RCEMLearning Induction Package and tell you about some new articles in New Online. Be sure to check out the papers and links below!

(01:25) New in EM – Midline catheters vs. PICC lines

• Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study

(14:37) Guidelines for EM – RCEM Suspected Scaphoid Fractures

• Guideline for the Management of Suspected Scaphoid Fractures in the Emergency Department

(43:29) New in EM – Immobilisation of torus fractures in children

• Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK

(01:00:14) RCEM Induction Package

• RCEMLearning Induction Section
• ED Starter Pack Booklet
• Sign your department up to the RCEMLearning Induction Package

(01:02:51) New Online – new articles on RCEMLearning for your CPD

• Heat Related Illness - Jonathan Baird
• The Climate Crisis – How will air pollution affect my patient’s health? - Joanna Quinn
• Endocarditis - Joydeep Grover

This month we’ve got a new host, two New in EM papers, a continued discussion for Guidelines for EM, and a new section we’re launching: New Online. Be sure to check out the papers and links below! New in EM – Early CTCA in suspected ACS Guidelines for EM – PE and clinical decision making New in EM – Chest Tube Sizes in Trauma New Online – three new articles for your CPD

(00:34) New in EM – Early CTCA in suspected ACS

• Early computed tomography coronary angiography in patients with suspected acute coronary syndrome: randomised controlled trial

(14:54) Guidelines for EM – PE and clinical decision making

• HSIB Report into clinical decision making: diagnosis and treatment of pulmonary embolism in emergency departments

(55:24) New in EM – Chest Tube Sizes in Trauma

• The small (14 Fr) percutaneous catheter (P-CAT) versus large (28-32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial

(01:08:49) New Online – new articles on RCEMLearning for your CPD

• Traumatic Cardiac Arrest Blog – Chris Srinivasan
• Kawasaki Disease – Christopher Manville
• Vaginal Specula in the ED… Why, When and How – Madeleine Payne

This month we have Efficacy of antibiotics for septic olecrannon bursitis | Guidelines for EM | Anterior-Lateral vs Anterior-Posterior pad placement for cardioversion of AF | Case Based Discussions

This month we discuss Comparison of Q SOFA and hospital early warning scores for prognosis in suspected sepsis in ED patients: A systematic review.

This month we have IV lines in axillary node clearance | Headaches | The RePHILL trial

Amy and Lisa discuss The Association between delays to patient admission from the Emergency Department in all cause 30 day mortality

This month we have Guidelines for EM on Heart Failure with Chris and Becky | Clinical Cases with Mark and Michelle

Susie and Raj discuss the experience of Emergency Department patients after a visit for Hypoglycaemia 

This month we have part B of our recordings from the Annual Scientific Conference. We discuss End of life and escalation with Dr Calvin Lightbody |  Organ donation in EM with Dr Katja Empson |  and TBI in ED with Dr Virginia Newcombe