Emergency Medicine podcasts based on evidence based medicine focussed on practice in and around the resus room.
February 2025’s research review evaluates three critical clinical studies. A retrospective analysis of out-of-hospital status epilepticus indicates that adding ketamine to midazolam protocols may increase seizure cessation rates, though further randomized controlled trials are required to confirm efficacy. Regarding tr...
Emergency medicine practice relies on the critical appraisal of clinical evidence to optimize patient management. Current research indicates that existing risk stratification tools for syncope, such as the San Francisco Syncope Rule, lack sufficient evidence for routine use, underscoring the necessity of thorough clini...
Evidence-based medicine in emergency and pre-hospital care remains central to clinical practice, as demonstrated by the critical review of three recent studies. Pulse oximetry serves as a useful diagnostic adjunct for limb trauma, where a saturation cutoff of 96% or an abnormal waveform indicates potential vascular dis...
Post-resuscitation care requires heightened vigilance for pneumothorax, which affects 11% of out-of-hospital cardiac arrest patients, particularly those with a history of COPD. While chest imaging remains essential, clinicians must balance the physical trauma of resuscitation against potential underlying pathology. Reg...
Adrenal crisis represents a life-threatening medical emergency requiring immediate recognition and intervention, particularly in patients with undiagnosed adrenal insufficiency. This condition exists on a clinical spectrum where symptoms like unexplained hyperpigmentation, persistent nausea, and postural hypotension se...
Non-invasive blood pressure monitoring frequently yields inaccurate data in critically ill pre-hospital patients, often overestimating hypotension and underestimating hypertension, which complicates clinical decision-making and supports the selective use of arterial lines. Regarding subarachnoid hemorrhage diagnosis, t...
Pulmonary emboli represent a critical diagnostic and therapeutic challenge in emergency medicine, requiring precise risk stratification to guide clinical management. Pathophysiologically, these clots obstruct pulmonary blood flow, increasing right ventricular afterload and potentially leading to hemodynamic collapse. D...
Emergency medicine practice evolves through the critical appraisal of three recent clinical studies. Double sequential defibrillation (DSD) shows potential for improved refractory VF termination and ROSC when shock intervals remain under 75 milliseconds, challenging current equipment limitations. Regarding upper gastro...
August 2024’s research review evaluates three critical pre-hospital and emergency interventions. Pre-hospital Zone 1 partial REBOA demonstrates technical feasibility for managing exsanguinating subdiaphragmatic hemorrhage, showing improved systolic blood pressure, though its broader clinical impact requires further inv...
Acute kidney injury (AKI) represents an abrupt, hours-long decline in renal function, affecting up to 20% of general hospital admissions and 50% of critical care patients. Clinicians categorize AKI into pre-renal, intrinsic, and post-renal aetiologies to guide targeted interventions. Effective assessment requires a tho...
Emergency medicine practitioners evaluate three recent clinical studies to determine their impact on current practice. The PREOXI trial demonstrates that non-invasive ventilation during pre-oxygenation significantly lowers hypoxia rates compared to standard oxygen face masks, although the benefit of ventilation during ...
Major incident triage in the UK is undergoing a significant transformation with the implementation of the Ten Second Triage (TST) and Major Incident Triage (MIT) tools. These systems replace legacy methodologies like the triage sieve and sort, aiming to reduce cognitive load during high-pressure events. TST, designed f...
Cardiac arrest management requires a shift from a purely medical focus to optimizing workflow efficiency through deliberate, structured planning. Success hinges on anticipating the entire patient journey—from initial dispatch and scene arrival to definitive care—to minimize cognitive load and physical clutter. Key stra...
Dual sequential defibrillation (DSD) demonstrates a survival benefit in refractory ventricular fibrillation, with evidence suggesting it remains the optimal strategy regardless of whether the rhythm is truly refractory or recurrent. In the context of geriatric emergency care, specific clinical indicators—including male...
Cauda Equina Syndrome represents a critical spinal emergency requiring rapid recognition to prevent irreversible neurological damage, including bowel, bladder, and sexual dysfunction. While often caused by large central disc herniations, clinicians must remain vigilant for secondary etiologies like malignancy, infectio...
Effective thermal management in trauma care requires the prompt removal of wet clothing, which significantly accelerates re-warming rates compared to leaving wet layers on. For patients with isolated limb fractures, a combination of intravenous ibuprofen and paracetamol achieves greater pain reduction at one hour than ...
Follow this podcast in Podwise
Sign in to get AI summaries, transcripts and mind maps for any episode, including new ones.
