Happy April! This month for the April 2024 episode of the RCEM Learning Podcast Rob and Liz have got two New in EM segments with Andy and Dave looking at ondansetron in ketamine sedation and the use of antibotics in brain injury. We have a Guidelines for EM looking at the management of hyperemesis gravidarum and we have an interview with Vicky Price from the Society of Acute Medicine. We then end with New Online. If you'd like to email us, please feel free to do so here

(04:56) New in EM - Ondansetron in ketamine sedation

• New in EM - Review article: Efficacy of prophylactic ondansetron versus placebo or control in reducing vomiting in children undergoing ketamine procedural sedation in the emergency department: A systematic review and meta-analysis (Hudson et al., 2024)

(16:18) Guidelines for EM - RCOG - Hyperemesis Gravidarum

• The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69)

(01:02:10) Interview with Vicky Price (Society of Acute Medicine)

• Society for Acute Medicine - Podcasts

(01:38:05) New in EM - Antibiotics in brain injury

• Ceftriaxone to prevent early ventilator-associated pneumonia in patients with acute brain injury: a multicentre, randomised, double-blind, placebo-controlled, assessor-masked superiority trial (Dahyot-Fizelier et al., 2024)

(01:51:24) New Online – new articles on RCEMLearning for your CPD

• Charlotte Davies - Departmental Handover
• Edward Snelson and Hannah Walsh - Recognising Paediatric Sepsis
• Fatema Jaffer and Riad Hosein - Congenital cardiac disease

This month Susie and Raj discuss a paper called You may think that the consultants are great, and they know everything, but they don't, exploring how new emergency medicine consultants experience uncertainty. And then in the 2nd part of this months podcast Noel and Stephen discuss a systematic review called Why is pain management so difficult in the emergency department

This month Lisa Ramage and Amy Hughes discuss the paper 'Thromboprophylaxis in ambulatory emergency department patients managed with lower limb immobilisation after injury: a national survey'. Then Suzy and Philippa discuss 'Pulmonary embolism management in the emergency department'.

This month the podcast is split into 2 parts. This is Part B which contains New in EM: Caffeine and arrhythmia risk and Clinical Cases