Ep 244 - July 2024 Monthly Update - Chest Pain, REBOA, Lidocaine patches and lots of paediatric emergency medicine

In this episode, hosts Iain Beardsell and Simon Carley provide the St Emlyn's podcast blog update for July 2024. They discuss their recent experiences, including Simon's trip to Malaysia for the MRCEM exams and Iain's upcoming attendance at the Tactical Trauma conference in Sweden. The main topics include a systematic review on the Manchester Acute Coronary Score (MACS) and its application in emergency departments, the potential influence of AI in diagnosing occlusive myocardial infarctions through ECGs, and guidelines for managing non-fatal strangulation cases. Additionally, they touch on the feasibility of using lidocaine patches for elderly patients with rib fractures and the role of partial REBOA in pre-hospital care for exsanguinating subdiaphragmatic haemorrhage. They also highlight informative segments from the premier conference on pediatric emergency medicine, covering topics such as eating disorders, hybrid closed-loop insulin pumps, and button battery ingestion. Finally, they emphasize the importance of understanding medical statistics and using diagnostic tests effectively in emergency medicine practice. 00:00 Introduction and Summer Updates 00:55 Upcoming Conferences and Events 01:44 Manchester Acute Coronary Score (MACS) Review 05:30 AI in ECG Analysis with Steve Smith 08:18 Non-Fatal Strangulation Awareness 10:45 Reboa: Pre-Hospital Use and Insights 14:11 Pediatric Emergency Medicine Highlights 14:36 Eating Disorders and Diabetes Management 19:00 Lidocaine Patches for Rib Fractures 21:46 Critical Appraisal and Medical Statistics 24:28 Button Battery Ingestion Dangers 26:12 Conclusion and Farewell