This month for the June 2023 episode of the RCEM Learning Podcast we’ve got two New in EM segments looking at the use of end-tidal CO2 at triage and looking at positioning for lumbar punctures. We then hear from Becky & Chris about a guideline for nitrous oxide toxicity. We then speak with Dani Hall about her practice changing papers in PEM, and then end with New Online. If you'd like to email us, please feel free to do so here.

(02:16) New in EM - End-tidal carbon dioxide monitoring at triage

• End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission (Ladde et al., 2023)

(17:27) Guidelines for EM - Nitrous Oxide

• RCEM - Suspected nitrous oxide toxicity in Emergency Departments

(50:44) New in EM - Optimal positioning for LPs

• Is Lateral Decubitus or Upright Positioning Optimal for Lumbar Puncture Success in a Teaching Hospital? (Thundiyil et al., 2023)

(01:04:49) Dani Hall - Practice Changing Papers in PEM

• The CAP-IT Study (Bielicki et al., 2021)
• The FORCE Study (Perry et al., 2022)
• The Bell-PIC Study (Babl et al., 2022)

(01:24:02) New Online – new articles on RCEMLearning for your CPD

• Trek Tragedy - Review on Lyme Disease - Anju Menon
• Non-traumatic subarachnoid haemorrhage - Jamie Cooper
• Risk and Safety (Part Two) - Charlotte Davies and Steve Walters