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The first day of the RCEM Annual Scientific Conference 2024 in Gateshead explores the future of emergency medicine, workforce pressures and emerging drug toxicity. The report also covers the climate emergency and practical efforts to make emergency departments more environmentally sustainable.

Tom Roberts and Dan Horner discuss the SHED study of adults presenting with acute headache. The article and podcast examine CT timing, the Ottawa SAH rule and lumbar puncture, including why observational evidence and the distinction between aneurysmal and non-aneurysmal bleeding matter when considering changes to practice.

What does a crowded emergency department feel like to patients and their families? Liz Crowe reviews a small qualitative interview study exploring loss of autonomy, unmet expectations and vulnerability, then considers practical ways to improve communication, comfort and attention to basic needs.

Paediatric palliative care consultant Timothy Warlow discusses caring for children with life-limiting conditions in the emergency department. Recorded at PREMIER 2024, the podcast explores listening to families, using care plans and communicating honestly without making assumptions about a child's quality of life.

The May 2024 podcast round-up includes RCEM conference highlights and a framework for the emergency physician in charge. Simon and Iain also discuss AI-generated exam questions, rib fracture analgesia, how to judge intubation success and the return of measles.

Iain and Simon review the April 2024 posts, covering bougies, cardiac arrest, trauma and sepsis. They also discuss race in medicine, global health and choosing commitments deliberately, with learning from the RCEM CPD conference and the emergency medicine conference in Graz.

Measles is a highly contagious viral disease making a resurgence due to declining vaccination rates. It presents with initial symptoms like high fever and coryza, followed by a rash. Rapid isolation and appropriate use of PPE are critical for suspected cases.

Learning and reflections from the first day of the Paediatric Emergencies Update in Noosa in 2024. The report covers childhood stroke, bronchiolitis and practical approaches to painful procedures, including planning for analgesia after children leave the emergency department.

Learning points from selected sessions at the RCEM CPD conference in Newport in 2024. This report covers training, global health, crowding, eye emergencies, headache and paediatric care, with a separate linked report on the RACE session.

Selected learning from the English-language track of the 11th emergency medicine congress in Graz in 2024. This report covers cardiac arrest, trauma, sepsis and ultrasound, alongside reflections on research, teaching and learning from mistakes.