Happy August! For the August 2026 episode of the RCEMLearning Podcast Rob speaks with Matt Reed about the ASPIRED Study. 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!

(03:33) Matt Reed - The ASPIRED Study

• Immediate Ambulatory Electrocardiographic Monitoring in Syncope (Reed et al., 2026)

This month for the July 2026 episode of the RCEMLearning Podcast Becky and Chris talk through the second in a two parter on the Surviving Sepsis Campaign Guidelines update. Rob then speaks with Arya Rao about LLMs and clinical reasoning. 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) Guidelines for EM - Surviving Sepsis Campaign Guideline (Part 2 of 2)

• Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026

(22:50) Arya Rao - LLMs and Clinical Reasoning

• Large Language Model Performance and Clinical Reasoning Tasks (Rao et al., 2026)

This month for the June 2026 episode of the RCEMLearning Podcast Becky and Chris talk through the first in a two parter on the Surviving Sepsis Campaign Guidelines update. Rob then speaks with Alison Tavare about the NCEPOD learning disability report. 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!

(01:56) Guidelines for EM - Surviving Sepsis Campaign Guideline (Part 1 of 2)

• Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026

(27:31) NCEPOD Acute Illness in people with a learning disability - Alison Tavare

• NCEPOD - Acute illness in people with a learning disability

This month for the May 2026 episode of the RCEM Learning Podcast I speak with another seven amazing speakers from the RCEM Annual Conference. This is a similarly bumper episode as last month. 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) RCEM AC Interview Megamix - Part 1 of 2

• (02:35) Steve Goodacre - Should we follow the science?
• (12:32) Victoria Currie - That's a wrap! 3 interesting papers in PEM: Bubblewrap x RCEM Conference
• (35:33) Tom Bannister - (De)constructing culture in the ED
• (51:27) Jocelyn Brittliff - Working in EM as an older clinician
• (58:12) Chris Humphries - Rebuilding EM data for health equity
• (01:07:25) Rebecca McKnight and Ijeoma Chibuzo - Understanding Ketamine Use Disorder: A guide for frontline services
• (01:21:19) Alex Novak - Evidence generation for diagnostic AI in the ED
• (01:32:42) Stephen Fowler - Asthma updates from new BTS/NICE/SIGN guideline and beyond

This month for the April 2026 episode of the RCEM Learning Podcast I speak with eight amazing speakers from the RCEM Annual Conference. This will be an absolutely bumper episode, and next month I will be speaking to seven speakers who are just as interesting. 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!

(02:53) RCEM AC Interview Megamix - Part 1 of 2

• (02:53) Andrew Lockey - Defibrillation strategies: To dual or not to dual?
• (15:01) Chelcie Jewitt - Not just a surgical problem: Sexual misconduct in EM
• (23:49) Michael Barrett - The MAGPIE Trial
• (42:30) Rebecca Whiticar - Top 5 common claims in EM
• (51:02) Ben McKenzie - AMAX4
• (01:03:58) Annette Rickard and Ali Griffiths - Making dying better in the ED
• (01:17:36) Dan Horner - Diagnosis and management of pulmonary embolism in the ED
• (01:28:45) Dan Perry - Getting CRAFFTy about SCIENCE: Results from international RCTs in paediatric orthopaedic trauma

Further Links and Reading

• Cheskes et al. - Defibrillation Strategies for Refractory Ventricular Fibrillation
• Surviving in Scrubs
• Hartshorn et al. - Treatment of acute trauma-related pain in children and adolescents with methoxyflurane (Penthrox®) compared to placebo (MAGPIE): A randomised clinical trial
• MPS & Rebecca Whiticar - Law at the front door
• AMAX4
• Plymouth Hospital End of Life Pathway
• High Five for High PEITHO? Intermediate-high risk PE (St. Emlyn's)
• The CRAFFT Study

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

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