Emergency Department Management

Dr Youri Yordanov describes the emergency department response to the Paris attacks of 13 November 2015. This podcast introduction and accompanying resources focus on organising teams and caring for critically injured casualties arriving without warning at an already busy Saint Antoine hospital.

Reflections on Roy Lilley’s presentation at the 2015 RCEM conference, including the gaps patients encounter between services. Simon Carley highlights the argument for designing care around patients’ needs, alongside a short video introduction and links to examples of healthcare innovation.

The 2015 REVERT trial compared a modified Valsalva manoeuvre with the standard technique in adults with stable supraventricular tachycardia. This appraisal examines conversion to sinus rhythm, the need for further treatment and practical questions about applying the findings in the emergency department.

A satirical ‘Fellowship of Corridor Medicine’ introduces a serious discussion of emergency department overcrowding. Simon Carley follows the spoof with practical reflections on departmental leadership, communication, sharing risk across the hospital and supporting patients and staff when demand overwhelms the space available for safe care.

Why does accurate emergency department coding matter beyond hospital income? This 2014 podcast introduction explains the English payment system used at the time and how incomplete records can distort accounts of the care patients receive, encouraging clinicians to record investigations, treatment and discharge information carefully.

During the 2014 Ebola outbreak, emergency physician Sarah Payne puts practical questions to an infectious diseases and virology clinician. Their discussion explores UK preparedness, simulation, travel history, protective equipment and staff exposure, recording the concerns and guidance of that outbreak rather than current operational advice.