A new paper takes a look at fatalities in nightclubs across the UK in the last 15 years, based on media reporting and coroners' reports. It found that physical assault and overdoses of MDMA/ecstasy were the leading causes of deaths. Another paper, from Japan, addresses acute scrotum presentation. It set out to rate the use of the TWIST score and point-of-care ultrasound when identifying testicular torsion. Then here's a research paper from Australia looking at ways to avoid invasive diagnostic procedures when considering oesophageal perforation. And finally, a UK-wide study on the use of nasal-high flow asks: how widespread really is it?

Read the highlights: Primary survey

• Nightclub deaths in the UK: a retrospective observational study of media reports with coroner verification
• Evaluating the TWIST score and point-of-care ultrasound for paediatric testicular torsion
• Predictive criteria for oesophageal perforation in patients with pneumomediastinum: can invasive diagnostic modalities be avoided?
• Use of nasal high-flow in emergency departments: a four-nation UK-wide survey

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Editor-in-Chief, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast Apple (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

Access to helicopter emergency services is improving in the UK, a recent study shows. But what impact is that access having? There's a paper for that too, with this episode declaring: "Helicopters for the win!" There's also research on the effect of epinephrine administration for out-of-hospital cardiac arrest in children - does the sequence of treatment affect the outcomes? And finally, how to fight back against spoofed survey responses when gathering data online.

Read the highlights: Primary survey

• Sequence of advanced airway management and epinephrine administration for paediatric patients with non-shockable out-of-hospital cardiac arrest
• Helicopter Emergency Medical Services attendance is associated with favourable survival outcomes in major trauma: derivation and internal validation of prediction models in a regional trauma system
• Access to physician-based Helicopter Emergency Medical Services in the UK: a service analysis in 2024
• Imposter participants and artificial intelligence: growing concerns in online surveys

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Editor-in-Chief, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast Apple (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

This month we've got a few papers on dealing with smoking - and not smoking - in the emergency department. The episode starts off with a discussion of a paper on automating high-flow nasal oxygen, and the importance of titration of oxygen levels - critical for patients with COPD. Then there's a paper questioning, can nicotine replacement therapy in the ED really work? This is followed by a research paper addressing the gaps in tracking of vaping and substance use - should doctors be asking more about use of vapes? To finish off the episode there's an analysis of the shifting trends in ED attendance, with case complexity seeing a dramatic increase.

Read the highlights: Primary survey

• Automated titration of nasal high flow oxygen in the emergency department: a randomised controlled trial
• Emergency department interventions for smoking cessation: a systematic review and meta-analysis
• Assessment of vaping and substance use documentation in the emergency department and acute medical unit
• Shifting patterns in emergency department attendance: a time series analysis

The EMJ podcast is hosted by:

Prof. Richard Body, EMJ Editor-in-Chief, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards)

You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast Apple (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.