RCEM Learning

This month for the March 2026 episode of the RCEM Learning Podcast Andy and Dave discuss ibuprofen and additional opiates in paediatric injury. Becky and Chris talk through an RCEM Best Practice Guideline on the management of sexual assault in the ED and Rob then talks with one of the authors, Maddy Dodds, about this guideline. As a TRIGGER WARNING, this does involve discussion around the topic of sexual assault. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (02:35) New in EM - Ibuprofen and additional opiates in paediatric injury Acetaminophen (Paracetamol) or Opioid Analgesia Added to Ibuprofen for Children's Musculoskeletal Injury: Two Randomized Clinical Trials (Ali et al., 2026) (19:15) Guidelines for EM - RCEM Best Practice Guideline for the Management of Sexual Assault in the ED RCEM Best Practice Guideline for the Management of Sexual Assault in the ED (2026) [PDF] (49:36) Sexual assault in the ED - Maddy Dodds RCEM Best Practice Guideline for the Management of Sexual Assault in the ED (2026) [PDF] Become a paid QI Fellow at RCEM - act now! RCEM Quality Fellow Job Description [Word]

Happy New Year! This month for the February 2026 episode of the RCEM Learning Podcast Andy and Dave discuss blood pressure targets in spinal cord injury. Becky and Chris talk through a New Zealand Chest Injury Guideline and Rob then talks with Charlotte Underwood and the role of gender in the assessment of abdominal pain. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (02:14) New in EM - Blood pressure targets in spinal cord injury Early Blood Pressure Targets in Acute Spinal Cord Injury: A Randomized Clinical Trial (Sajdeya et al., 2025) (17:06) Guidelines for EM - New Zealand Chest Injury Guidance Health New Zealand - National Chest Injury Guidance (2025) [PDF] (59:44) Gender and assessment of abdominal pain - Charlotte Underwood Expression of interest to join this study Gender disparity in analgesic treatment of emergency department patients with acute abdominal pain (Chen et al., 2008) Race and Sex Are Associated With Variations in Pain Management in Patients Presenting to the Emergency Department With Undifferentiated Abdominal Pain (Drogell et al., 2022) Women's experiences of seeking healthcare for abdominal pain in Ireland: a qualitative study (Windrim et al., 2024) Ending the neglect of women's health in research (Galea et al., 2023)

Happy New Year! This month for the January 2026 episode of the RCEM Learning Podcast Andy and Dave discuss two papers with Dave - looking at the role of CT scanning in undifferentiated sepsis and the use of bicarbonate in acidaemia. Rob talks to Ben Clarke and Ryan McHenry about the latest TERN Study, the UnCORKED Study, and we then end with New Online! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (01:59) New in EM - CT in sepsis Suspected infection of unclear origin at the emergency department: diagnostic yield of thoraco-abdominal-pelvic CT in non-severe patients (Dumon et al., 2025) (16:16) Ben Clarke and Ryan McHenry - The UnCORKED Study Understanding corridor and escalation area care in 165 UK emergency departments: a multicentre cross-sectional snapshot study (TERN, 2025) TERN Research (38:59) New in EM - Bicarbonate in acidemia Sodium Bicarbonate for Severe Metabolic Acidemia and Acute Kidney Injury: The BICARICU-2 Randomized Clinical Trial (Jung et al., 2025) (50:00) New Online – new articles on RCEMLearning for your CPD Frances Copp - The Droopy Dribbler Frances Balmer - Methaemoglobinaemia Sarah Edwards - Genitourinary Foreign Bodies

Merry Christmas! This month for the December 2025 episode of the RCEM Learning Podcast Andy and Dave are talking about higher MAP targets in sepsis and the routine use of antibiotics for max-fax fractures. Rob attempts a festive round up of the most impactful guidelines of the year. We'll then end with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (03:19) New in EM - Higher MAP targets in Sepsis Efficacy of targeting high mean arterial pressure for older patients with septic shock (OPTPRESS): a multicentre, pragmatic, open-label, randomised controlled trial (Endo et al., 2025) (15:19) Most Impactful Guidelines of the Year European Resucitation Guidelines - Guidelines on Cardiopulmonary Resuscitation (ERC, 2025) NHS England - Urgent and emergency care plan 2025/26 (NHS England, 2025) NHS England - Guidance to support the commissioning and delivery of ambulance services in 2025/26(NHS England, 2025) NICE - NG246 Overweight and obesity management (NICE, 2025) NICE - NG253 - Suspected sepsis in people aged 16 or over: recognition, assessment and early management (NICE, 2025) NICE - NG254 - Suspected sepsis in under 16s: recognition, diagnosis and early management (NICE, 2025) NICE - NG255 - Suspected sepsis in pregnant or recently pregnant people: recognition, diagnosis and early management (NICE, 2025) RCPCH - Facing the Future - standards for children and young people in emergency care settings (RCPCH, 2025) RCEM - GPEMS(RCEM, 2025) (38:07) New in EM - Routine use of antibiotics in facial fractures Prophylactic antibiotic use in trauma patients with non-operative facial fractures: A prospective AAST multicenter trial (Mian et al., 2025) (47:10) New Online – new articles on RCEMLearning for your CPD Is Normalisation of Deviance the "Standard" in Medicine? - Neel Bhandani Mental Illness in Children by Jidhin Davis Rest, sleep, and our breaks - the conversation we cant tire of - Amar Mashru

Happy September! This month for the September 2025 episode of the RCEM Learning Podcast Andy and Dave are talking about AI interpretation of ECG findings and managing acute asthma exacerbations. We are then going back to Becky and Chris rounding off the second part of their guideline on atrial fibrillation. We'll then end with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website! (02:13) New in EM - AI vs doctor in cath lab activations Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio) (Shroyer et al., 2025) (18:00) Guidelines for EM - ESC Atrial Fibrillation (Part Two) ESC - 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) (ESC, 2024) (39:03) New in EM - Management of acute asthma exacerbations As-Needed Albuterol–Budesonide in Mild Asthma (LaForce et al., 2025) Combination fixed‐dose beta agonist and steroid inhaler as required for adults or children with mild asthma (Cochrane Library, 2021) (54:00) New Online – new articles on RCEMLearning for your CPD Understanding Medical Cannabis: Mechanisms, Indications and Clinical Integration - David Tang Safe Sedation Procedures in Adults - Duncan Russell and Shobhan B Thakore Unusual Agitation in Final Year Student - Cathy Wield and Mark Horowitz