Royal College of Emergency Medicine

And the series has become more popular in the UK with doctors ready to watch even in weeks when they've had punishing shifts in A&E.

Dr. Fiona Hunter is vice president of the Royal College of Emergency Medicine in Scotland.

I wouldn't do it straight after [laughs], straight after a shift.

I think we all need to decompress and almost debrief what, what we've experienced on that shift.

So fix your systems, folks.

So we need to move away from that sort of language, don't we? And yeah, I remember years ago, we were putting an IT system in at my department and it was riven with troubles and difficulties and don't often say naughty words on the podcast, but one of my senior colleagues, an ex-Dean of the Royal College of Emergency Medicine, no less, He just looked at me and we're talking about this IT system and how troublesome it was.

He just looked at me and went, yeah, Bill Gates wouldn't put up with this shit, would he? And he was entirely right.

And it's exactly the same.

Violence and aggression have become a routine part of emergency medicine for many clinicians in the United Kingdom.

A new survey from the Royal College of Emergency Medicine asked more than 2,000 emergency department staff about their experiences at work.

Of those, 96% have said they experience violence or aggression from patients or members of the public.

Worse, nearly three quarters have said those incidents happen weekly or even daily.

And obviously the...

Royal College of Emergency Medicine have come out with this study and explained that this is why A&Es are as difficult as they are and we need more resources.

But equally crucially, this report came out just ahead of a BBC investigation into the fact that there is a rising amount of negligence claims coming out of A&Es as well in a way that it's not happening to other areas of medicine.

So I thought it was a really smart play by the RCEM in terms of making sure that they were setting the agenda, that this was about government cuts first.

But some of it is because we don't have the resources to provide that kind of intensive wraparound care at the very beginning of their stay.

And one of the reasons that the Royal College of Emergency Medicine is so concerned about corridor care is that these patients aren't getting appropriate treatment in the right place.

Take, for example, when we see people with major trauma who have rib fractures.

Now, if you sit in the emergency department for 24 hours with rib fractures, you can't cough because it hurts.

So this is the Arkem Learning Podcast.

It's a mostly monthly magazine podcast affiliated with the Royal College of Emergency Medicine.

In this podcast, we bring you the latest and greatest in emergency medicine insights from the world of research, clinical guidelines, and lots of other related topics.

I also like to interview people about their research or about topics relevant to the world of emergency medicine.

So it was a fascinating conversation with Dr. Jane McLaren of the, what's her proper title?

Royal College of Emergency Medicine.

Damn it.

Royal College of Emergency Medicine, isn't it? I've got my

notes, excuse me.

Amateur.

What is that? I can't even read your name.

Okay, you're not reading my name.

Yeah, so I can give you lots of examples of work where we've had significant impact.

So, for example, we did a report around aortic dissection, which we made recommendations to the Royal College of Radiologists and the Royal College of Emergency Medicine in the UK.

We recently were contacted by the Aortic Dissection Charity for the UK who said to us that they've now got data to show that on the back of our recommendation, 300 people a year or more are being identified as having aortic dissection and getting the surgery they require.

And the charity is confident that that is down solely to the recommendation that we made.