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2024-10-01 | There's a whole pile of blocks in this month's papers, with the first being a trial of Erector-Spinae Plane (ESP) blocks, not for rib fractures as you might expect but Hepato-Pancreato-Biliary (HPB) pain instead. Following on from that is a retrospecti... |
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2024-09-04 |
Inducting new doctors, and managing rib fractures - September 2024 Primary Survey Being fallible was one of the most valued characteristics in a consultant, according to new doctors going through their induction - that's the subject of the first paper this month. Next up is a study on the impact of noise on hospital staff, which inc... |
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2024-08-02 |
When to CT scan after a seizure, and indirect signs of appendicitis: August 2024 Primary Survey The recovery of laceration repair patients is the topic of this month's first paper, looking at behavioural disturbances in children following these difficult medical procedures. The second paper deals with pre-hospital use of tranexamic acid for traum... |
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2024-07-04 |
Opioid toxicity, thrombectomy transfers, and austerity's impact: July 2024 Primary Survey What might yawning and sneezing be signs of in a patient? This month's podcast features new RCEM and NPIS guidance on acute opioid toxicity, outlining a number of symptoms to stay alert to. Before getting to that there's a paper on bypassing hospitals ... |
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2024-06-06 |
Patient self-perception, and presentations of headache: June 2024 Primary Survey How well do patients in the emergency department judge the severity of their situation? Some may fear the worst for any hospital visit, and others not realise that their lives are in danger. This month's first paper is a review of the accuracy of self-... |
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2024-05-09 | Should we be bringing preventative medicine into the emergency department, or is it just using up valuable time? Our first paper this month looks at the "Cessation of Smoking Trial in the Emergency Department (COSTED)" trial, which presents the case fo... |
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2024-04-05 |
Suspicious chest pain, inequality in COVID outcomes, and staff retention problems “Social distancing is a privilege,” is the core message underlying the first paper brought by Sarah to this month’s roundup, as it unpacks the stark differences in COVID-19 outcomes across the spectrum of racial and ethnic groups in the United States. ... |
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2024-03-04 |
Aortic dissection, coroners' court, and age-related outcomes: March 2024 Primary Survey A feast of aortic papers this month, including a study on missed aortic dissection diagnoses and an analysis of coroners' reports. Rick runs through the findings of an interesting study from the Trainee Emergency Research Network (TERN), and Sarah fini... |
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2024-02-01 |
Trip killers, sympathetic crashing, and all sorts of sedatives: February 2024 Primary Survey There's a lot of drugs to be talked about this month, and a heap of randomised control trials to be covered too. Rick and Sarah talk though the combining of nitrous oxide and fentanyl for sedation, the environmental impact of analgesics, the efficacy o... |
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2024-01-08 | What are the questions to ask when dealing with acute behavioural disturbance? Join Sarah and Rick this month for a discussion of this difficult presentation. They also explore the topics of reducing low-acuity attendance, taking NHS 111 online, and th... |
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