Acute palliative care, hands-free epistaxis relief, and modern laryngoscopy: May 2025 Primary Survey

<p>A new survey has found that less than one third of end-of-life patients in Irish emergency departments have their own room. This is only one of the shortcomings found in end-of-life care, explored in two papers to start this episode. Following on from that is a comparison of video and direct laryngosocopy for intubation outcomes. There's also a "Best Evidence" review of the use of nasal clips for stopping nosebleeds, an approach which appears likely to offer advantages over the hands or inventive tongue-depressor contraptions. The finish up this month's episode, there's a return to a topic previously visited one year ago - <a href='https://emjbmj.podbean.com/e/cyclic-vomiting-high-sensitivity-troponin-testing-and-ai-ct-scan-triaging-may-2024-primary-survey/'>the RCEM guidelines on cannabinoid hyperemesis syndrome</a>. A study from Wales follows up on the adherence to this guidance.</p> <p>Read the highlights: <a href='https://emj.bmj.com/content/42/5/289'>May 2025 Primary Survey</a>...