The Emergency Medicine Journal (EMJ) podcast is your premier source for the latest insights and developments in pre-hospital, hospital emergency medicine and critical care. Join the EMJ journal’s Deputy Editor and Social Media Editor each month as they discuss key highlights from the latest issue. EMJ - emj.bmj.com - is an international journal from the BMJ Group and the Royal College of Emergency Medicine (RCEM) covering developments and advances in emergency medicine and acute care. Stay…
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This month, we start with a systematic review on smart ways to cut down unnecessary X-rays in kids with limb injuries. We also look at why subarachnoid haemorrhages get missed or diagnosed late, from both patient and doctor perspectives. A Best Evidence Topic (BET) review asks if simple haematoma blocks are as good as procedural sedation for resetting broken wrists. And finally, we dive into a UK…
A new paper takes a look at fatalities in nightclubs across the UK in the last 15 years, based on media reporting and coroners' reports. It found that physical assault and overdoses of MDMA/ecstasy were the leading causes of deaths. Another paper, from Japan, addresses acute scrotum presentation. It set out to rate the use of the TWIST score and point-of-care ultrasound when identifying testicular…
Access to helicopter emergency services is improving in the UK, a recent study shows. But what impact is that access having? There's a paper for that too, with this episode declaring: "Helicopters for the win!" There's also research on the effect of epinephrine administration for out-of-hospital cardiac arrest in children - does the sequence of treatment affect the outcomes? And finally, how to…
This month we've got a few papers on dealing with smoking - and not smoking - in the emergency department. The episode starts off with a discussion of a paper on automating high-flow nasal oxygen, and the importance of titration of oxygen levels - critical for patients with COPD. Then there's a paper questioning, can nicotine replacement therapy in the ED really work? This is followed by a…
What happens to an emergency department when staff go on strike? A new study published in EMJ examines this challenging scenario and its impact on patient flow. Another paper looks at the hybrid-warfare attack carried out in Lebanon, where exploding pagers caused a mass casualty incident, and what emergency departments can learn from managing that event. EMJ editor Prof. Richard Body adds some of…
"Should we be giving blood transfusions to patients with traumatic cardiac arrest?" EMJ editor Prof. Richard Body and associate editor Dr. Sarah Edwards talk through some original research on the value of blood transfusions in this difficult situation. Next is the new UNCORKED study from the Trainee Emergency Research Network (TERN), with some sobering statistics on the prevalence of emergency…
It's the first issue of 2026, and the first with new editor-in-chief Prof. Richard Body heading the journal. He is joined by senior associate editor Dr. Sarah Edwards, as they take a look at some highlights of the issue. First in the line-up is a paper looking at how "Same day emergency care" units, or SDECs, have come to mean quite different things across the UK. In some cases, the rule-out…
One thing you'll never hear in the emergency department is the sound of silence. And if the hubbub should start to lower, woe betide the ED staffer who dares to say, "it's looking quiet tonight." But should we really be so concerned? A paper in this episode's roundup takes a look at superstition versus science. Staffing concerns is another ever-present topic when it comes to the ED, and Rick and…
Despite what the CPR doll might suggest, cardiac arrest patients are not always white, lean and male. So why is that the case for resuscitation training? The first paper in this episode addresses this lack of representation and the impact it has on resus performance. The next paper is a practice review of functional neurological disorder (FND), highlighting the poor diagnosis rate and history…
The atmosphere of the emergency department can be a hard thing to put into words, with intense emotions washing over patients and staff alike. This month we feature a poem, powerfully illustrating the drama and stress inside the ED bubble. One of the recurring sources of uncertainty for patients is the question, “How long until I’m seen, doc?”, and there’s a paper following up on that issue with a…
