RCEM Learning

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

Happy August! This month for the August 2025 episode of the RCEM Learning Podcast Andy returns to discuss the investigation of acute coronary syndrome in the ED. Becky and Chris begin a two part deep dive through a guideline looking at the management of atrial fibrillation. We then talk to Matt Reed about the RCEM Flagship Conference 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!

(02:28) New in EM - Ruling out ACS in the ED

• Acute coronary syndrome rule-out strategies in the emergency department: an observational evaluation of clinical effectiveness and current UK practice (Trainee Emergency Research Network, 2025)

(19:43) Guidelines for EM - Atrial Fibrillation (European Society of Cardiology)

• European Society of Cardiology - 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): Developed by the task force for the management of atrial fibrillation of the European Society of Cardiology (ESC), with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO) (ESC, 2025)

(47:26) Matt Reed and the Flagship Conference

• RCEM - Flagship Conference 2026

(58:28) New Online – new articles on RCEMLearning for your CPD

• Kishan Indrakumar, Thomas Moore, Mayank Nagar, Preetibah Ratenavelu, Dominique Tirian - Chemical Eye Injuries in the ED
• Katy Guy, Olivia Curtis-Hughes - Sports-Related Concussions in the Emergency Department
• Susan Elizabeth Dorrian, Sarah Jones - Disturbed or Psychiatric Patients in the ED

Additional Links

• RCEM - SECEM Conference 2025

Happy July! This month for the July 2025 episode of the RCEM Learning Podcast Rob covers for Andy and discussed two PEM papers with Dave - looking at the role of parental concern in predicting paediatric critical illness and one looking at clearing the paediatric C-spine with CT imaging alone. Becky and Chris finish up their two part deep dive through a guideline looking at the management of acute behavioural disturbance 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!

(02:39) New in EM - Parental concern and paediatric critical illness

• Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study (Mills et al., 2025)

(18:01) Guidelines for EM - Acute Behavioural Disturbance in Emergency Departments (Part Two)

• RCEM - Acute Behavioural Disturbance in Emergency Departments (RCEM, 2025) [PDF]

(43:37) New in EM - Paediatric C-spine clearance with CT alone

• An analysis of potential cervical spine clearance in children with computed tomography alone (Russell et al., 2025)

(01:04:51) New Online – new articles on RCEMLearning for your CPD

• Zygomatic Complex and Nasal Injury - Jonathan Whittaker
• Learning from Deaths - Liz Herrieven
• Kishan Indrakumar, Thomas Moore, Dominique Tiriant, Mayank Nagar, Preetibah Ratenavelu, Arnav Singh - Prescribing in Pregnancy - A Practical ED Guide

Happy June! This month for the June 2025 episode of the RCEM Learning Podcast Rob covers for Andy and discussed two HALO-heavy papers with Dave - looking at the London HEMS pre-hospital thoracotomy paper and a systematic review looking at resuscitative hysterotomy. Becky and Chris go on the first of a two part deep dive through a guideline looking at the management of acute behavioural disturbance 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!

(02:35) New in EM - London HEMS Thoracotomy Outcomes

• Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest (Perkins et al., 2025)
• RCEMLearning July 2023 - HALO Procedures with Joseph Mathew and Dave McCreary

(15:41) Guidelines for EM - Acute Behavioural Disturbance in Emergency Departments

• RCEM - Acute Behavioural Disturbance in Emergency Departments (RCEM, 2025) [PDF]

(46:00) New in EM - Systematic review of resuscitative hysterotomies

• ---- 13:49
• Maternal and neonatal outcomes following resuscitative hysterotomy for out of hospital cardiac arrest: A systematic review (Leech et al., 2025)

(59:48) New Online – new articles on RCEMLearning for your CPD

• Medics and the Media: The Anti-social Network - Fin McNicol
• Tracheostomy emergencies in adults - Jonathan Cooper
• Pelvic Fractures – A guide to treatment within a Trauma Unit - Peter Bates, Paul Harnett, Matt Gee

Happy May! This month for the May 2025 episode of the RCEM Learning Podcast Rob covers for Andy and Dave and discusses a systematic review and meta-analysis looking at the safety of different rate control methods in treating AF with rapid ventricular response. Becky and Chris go on a very deep dive through a guideline looking at the management of patients with suspected but unidentified poisoning 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!

(02:04) New in EM - Adverse events in pharmacological treatment of AF with RVR

• Metoprolol vs diltiazem for atrial fibrillation with rapid ventricular rate: Systematic review and meta-analysis of adverse events (Hintze et al., 2025)
• Intravenous diltiazem versus metoprolol for atrial fibrillation with rapid ventricular rate: A meta-analysis (Lan et al., 2021)

(09:30) Guidelines for EM - Management of unexplained poisoning in the ED

• RCEM - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department (RCEM, 2025) [PDF]

(01:01:44) New Online – new articles on RCEMLearning for your CPD

• 24 Hour Ophthalmic Emergencies Part 1 – Acute Red Eye - William Spackman
• Understanding Informed Consent: A Guide for Healthcare Professionals - Khurram Rasool
• Advanced Lines - Alexandra Cottrell, Claire Fitzgerald