PODCAST · health
EMJ Podcast
by BMJ Group
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 informed with expert discussions and cutting-edge information by subscribing or listening on your favourite podcast platform. Podcast hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK* The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, p
Episodes
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Cross-gender CPR and language barriers in emergency care: Primary Survey August 2026
What social dynamics can be observed in the administration of bystander CPR? New research from Korea shows a reluctance to assist when the patient and bystander were of different sex. In the UK, a five year review of knife crime involving children and young people looks for trends in the…
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Paediatric imaging and haematoma blocks: Primary Survey July 2026
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...
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Nightclub deaths and testicular twists: Primary Survey June 2026
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....
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Helicopter rides and surveying impostors: Primary Survey May 2026
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...
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Sicker and longer is the trend in ED stays, and vaping is not just "smoking lite": EMJ Primary Survey April 2026
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...
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NHS strikes, Lebanon pager attacks, and maternal cardiac arrests: Primary Survey March 2026
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…
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Solving corridor care, and return of spontaneous circulation: Primary Survey February 2026
"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...
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Facial scarring, paracetamol overdose, and same day treatment: January 2026 Primary Survey
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"...
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"Don't say the Q word!" and relying on AI: December 2025 Primary Survey
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...
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The riddle of Resusci Annie, explaining functional neurology, and flying doctors: November 2025 Primary Survey
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...
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“Whose turn is it?” - Moral injury and predicting wait times: October 2025 Primary Survey
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…
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Code status conversations, and attitudes towards asthma: September 2025 Primary Survey
"What is your understanding of your father's illness?" This is the kind of question that may be posed by emergency clinicians in the context of end-of-life care. But as a survey of Thai and American emergency departments finds, approaches to these conversations can be quite different globally.…
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Inspecting tongues for appendicitis, and looking out for legal liability: August 2025 Primary Survey
A new paper on the challenging diagnosis of acute appendicitis has us wondering, can it be spotted with just a glance? The reality is never so simple. This episode we also discuss low-value overtesting, cardiac arrest trial consent, and patient discharge into police custody. As with many aspects…
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Avoiding burnout, major incident preparedness, and suicide post-ED contact: July 2025 Primary Survey
The NHS plans to set up mental health emergency departments throughout England. A survey discussed this episode highlights the importance of mental health assessments, finding that nearly a quarter of suicide deaths in a one year period had come after hospital or emergency department contact....
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Salbutamol for analgesia, low-tech randomisation and cannulation numbing: June 2025 Primary Survey
Can salbutamol be used be used to relieve pain in renal colic patients? Starting off this month's episode, a randomised trial seeks to find the answer. Then a topic of interest for anyone seeing patients with a phobia of needles, namely a study comparing coolant spray with topical anaesthetic…
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Acute palliative care, hands-free epistaxis relief, and modern laryngoscopy: May 2025 Primary Survey
A new survey has found that less than one third of end-of-life patients in Irish emergency departments have their own room. This is only one of the shortcomings found in end-of-life care, explored in two papers to start this episode. Following on from that is a comparison of video and direct...
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The walk-in wounded, detecting hypofibrinogenemia, and "time is testicle!": April 2025 Primary Survey
Trauma and paediatrics are the themes for this month's collection of papers. Starting off is a review of the effectiveness of prehospital ultrasound in detecting lung injury, with some surprising statistics. Next is a letter on the topic of self-presentation by paediatric patients with major...
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Dementia care, supporting ACPs, and handling hidradenitis suppurativa: March 2025 Primary Survey
Advance clinical practitioners (ACPs) can have a big role to play in the emergency department, but their career paths are not always well understood. This episode features three papers from the journal which begin to address that - a census survey of over 1000 ACPs, a qualitative study on their...
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Improving sex and gender equity, rapid virus testing and saline injections for pain relief: February 2025 Primary Survey
Another packed issue of the journal this month, and a podcast to match. Starting off with the Editor's Choice paper, on the important topic of sex and gender disaggregation in emergency medicine trials. Sex and Gender Equity Reporting (SAGER) guidelines were introduced in 2016 but poor adherence…
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Overcrowding in the emergency department, with Dr. Adrian Boyle and Prof. Ellen Weber
A special bonus podcast this time, on the perennial issue of crowding. Rick and Sarah are joined by Royal College of Emergency Medicine president Dr. Adrian Boyle, and EMJ's editor-in-chief Prof. Ellen Weber. They address recent evidence for crowding's harmful impact, the arm-twisting needed to...
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Warzone mentality in the ED, and finding balance with hospital pre-alerts: January 2025 Primary Survey
It's a celebration of qualitative research to start the new year, with a collection of papers offering new perspectives on emergency department issues. First is a pair of papers centred on the theme of pre-alerts to the emergency department. Setting the scene for a patient's arrival is a vital...
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Compelling evidence for rule-out of subarachnoid haemorrhage and aortic dissection: December 2024 Primary Survey
Subarachnoid haemorrhage is a diagnosis that can't be missed, but it is not a simple process to detect it. The first paper for discussion this month questions if a CT scan within 6 hours is sufficient for exclusion in patients with acute headache. Then there is a large-scale analysis of over 400...
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Missing elbow fractures, and consulting the elders: November 2024 Primary Survey
Upper limb injuries make up about three-quarters of the limb injuries to children seen in the emergency department. But when it comes to the elbow, just how good are clinicians at diagnosing based on radiography? The first paper this month is a study putting over 300 global participants to the...
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Ranking anaesthesias for wrist fracture, and finding pneumothoraces with AI: October 2024 Primary Survey
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 retrospective study comparing the resource utilisation…
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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 includes some simple interventions with…
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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 trauma, and surfaces some demographic…
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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 for patients needing mechanical thrombectomy…
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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-prognostication and its relation to…
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Interventions for smoking cessation, AI CT scan triaging, and cyclic vomiting: May 2024 Primary Survey
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 for opportunistic smoking cessation…
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Suspicious chest pain, inequality in COVID outcomes, and staff retention problems: April 2024 Primary Survey
“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. A second paper examines the returning rates…
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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 finishes off with a paper on predicting adverse...
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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 of acute heart failure treatment with…
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Managing acute behavioural disturbance, and some innovations in emergency care: January 2024 Primary Survey
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 the impact of a health coaching intervention…
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Point of care ultrasound and COVID telephone triage: December 2023 Primary Survey
Hear a summary of some of the best papers published in the December 2023 issue of the Emergency Medicine Journal. The podcast this month covers a trio of ultrasound papers addressing its use in the treatment of distal radial fractures, and thoracic and abdominal stab wound injuries. Featured also...
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Cauda equina diagnosis, suspected sepsis, and e-scooter cases in the ED: November 2023 Primary Survey
Hear a summary of some of the best papers published in the November 2023 issue of the Emergency Medicine Journal. This month's podcast discusses a wide array of topics like cauda equina syndrome, biases in blood alcohol testing services, bystander CPR effectiveness in cardiac arrest, and the...
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Clinical negligence claims, silver trauma and parental anxiety: October 2023 Primary Survey
Hear a summary of some of the best papers published in the October 2023 issue of the Emergency Medicine Journal. This month's podcast covers a variety of topics from litigation issues in the ED, young people's experiences in the Paediatric ED, parental anxiety in the PED, and all about 'Silver...
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It’s OK to feel uncertain as a new consultant: September 2023 Primary Survey
This is the summary of some of the best papers we published in the September 2023 issue of the Emergency Medicine Journal. Rick and Sarah discuss a trio of papers on health services, the use of isopropyl alcohol as an anti-emetic, and they talk to Dr Anna Collini, co-author of a paper that…
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Escalation decisions during COVID, and predicting occult scaphoid fractures: August 2023 Primary Survey
A summary of some of the best paper we published in the August 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics touching on the assessment of scaphoid and ankle injuries, patient involvement in research, frequent attendees to the ED, and deciding which patients to...
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IV paracetamol trumps opiates, managing prehospital self-harm, and empowering waiting patients: July 2023 Primary Survey
A summary of some of the best paper we published in the July 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics on Pre Hospital assessment of chest pain, management of pain in the emergency department and some thoughts on improving the experience for the waiting...
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Primary Survey - the highlights of June 2023
A summary of some of the best paper we published in the June 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics including home pulse oximetry, out of hospital cardiac arrest, the perils of correctly calculating respiratory rate in the ED and even cross-cultural...
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Primary Survey - the highlights of May 2023
Rick Body, University of Manchester and Manchester University NHS Foundation Trust, and Sarah Edwards, University Hospitals of Derby NHS Foundation Trust, cover the pick of the papers from EMJ's May 2023 issue. In this edition, we cover papers on shoulder dislocation, blunt chest trauma, uterine...
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Primary Survey - the highlights of April 2023
A summary of some of the best paper we published in the April 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics including the impact of emergency physician gender on the outcomes of patients with early pregnancy loss; major trauma centre care for patients with low...
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Primary Survey - the highlights of March 2023
A summary of some of the best papers we published in the March 2023 issue of the Emergency Medicine Journal. EMJ's deputy editor Rick Body and social media editor Sarah Edwards talk through topics including biomarkers of traumatic brain injury, the limping child, hypothermia and sepsis in infants...
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Primary Survey - the highlights of February 2023
The best of the papers from our February 2023 issue, covered by Sarah Edwards and Rick Body. This month we cover great papers on COVID-19 and wellbeing, domestic violence and the diagnosis of testicular torsion. Read the highlights: https://emj.bmj.com/content/40/2/83. You can subscribe to the…
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Primary Survey - the highlights of January 2023
A rundown of some of the best papers we published in the January 2023 edition of the journal. We cover an excellent practice review on the management of pulmonary embolism, going through some of the great pearls of wisdom relevant to our practice. How do you risk stratify patients with PE? What…
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Primary Survey - the highlights of December 2022
A selection of the best papers from our December 2022, picked apart and distilled for you by Rick Body and Sarah Edwards. In this festive issue we cover anaesthesia for paediatric forearm fractures, ultrasound diagnosis of acute appendicitis, a deep dive into the predictive value of vital signs,...
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Primary Survey - the highlights of November 2022
A selection of the best papers from our November 2022 edition. Rick and Sarah take you through five great papers discussing headache, subarachnoid haemorrhage, pre-hospital births, how to mitigate emergency physician stress in resuscitation and pathways for the early diagnosis of acute myocardial...
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Primary Survey - the highlights of October 2022
The best of our October 2022 issue, covering a superb qualitative study exploring the experience of older adults in the Emergency Medicine Journal with a wonderful accompanying editorial; a look at variation in practice for treating pre-orbital and orbital cellulitis in children; the association...
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Primary Survey - the highlights of September 2022
Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, give an overview of the best of the September issue of the Emergency Medicine Journal. They cover a plethora of clinically relevant papers. There's a terrific non-inferiority trial looking at the use of non-sterile...
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Primary Survey - the highlights of August 2022
Sarah Edwards, Social Media Editor of EMJ, and Rick Body, Deputy Editor of EMJ, take you through the best of the Emergency Medicine Journal in August 2022, covering topics from COVID-19 to triage to community Emergency Medicine to complications of emergency intubation in children and survival…
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ABOUT THIS SHOW
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 informed with expert discussions and cutting-edge information by subscribing or listening on your favourite podcast platform. Podcast hosted by: Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK* The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, p
HOSTED BY
BMJ Group
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