Clinical Takeaway: Move Away from SABA-Only

Happy September! This month for the September 2025 episode of the RCEM Learning Podcast Andy and Dave are talking about AI interpretation of ECG findings and managing acute asthma exacerbations. We are then going back to Becky and Chris rounding off the second part of their guideline on atrial fibrillation. We'll then end with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!

(02:13) New in EM - AI vs doctor in cath lab activations

• Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio) (Shroyer et al., 2025)

(18:00) Guidelines for EM - ESC Atrial Fibrillation (Part Two)

• ESC - 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) (ESC, 2024)

(39:03) New in EM - Management of acute asthma exacerbations

• As-Needed Albuterol–Budesonide in Mild Asthma (LaForce et al., 2025)
• Combination fixed‐dose beta agonist and steroid inhaler as required for adults or children with mild asthma (Cochrane Library, 2021)

(54:00) New Online – new articles on RCEMLearning for your CPD

• Understanding Medical Cannabis: Mechanisms, Indications and Clinical Integration - David Tang
• Safe Sedation Procedures in Adults - Duncan Russell and Shobhan B Thakore
• Unusual Agitation in Final Year Student - Cathy Wield and Mark Horowitz