Facial scarring, paracetamol overdose, and same day treatment: January 2026 Primary Survey

It's the first issue of 2026, and the first with new editor-in-chief Prof. Richard Body heading the journal. He is joined by senior associate editor Dr. Sarah Edwards, as they take a look at some highlights of the issue. First in the line-up is a paper looking at how "Same day emergency care" units, or SDECs, have come to mean quite different things across the UK. In some cases, the rule-out processing of SDECs harks back to "What the ED used to do" in past years. The next paper is an examination of the treatment methods for paracetamol overdose, specifically the SNAP protocol for accelerated infusion of N-acetylcysteine. This new analysis considers the likelihood of anaphylactoid reactions across age groups. Third to be discussed is a retrospective study on the relationship between length of stay and morbidity and mortality in older patients. This large study from Singapore suggests a systemic change in approach is needed for handling triaging and discharge of this patient group. The final topic is facial lacerations, with a Best Evidence Topic report addressing the use of topical silicone gel. Many patients are rightly concerned about scarring on such a personal part of the body as their face, and the report finds some encouraging support for use of the gel to improve cosmetic healing. Read the highlights: January 2026 primary survey How is same day emergency care (SDEC) being implemented across England? Scottish and Newcastle Antiemetic Protocol (SNAP) 12-hour acetylcysteine regimen for paracetamol overdose reduces anaphylactoid reactions without compromising hepatic protection in all age groups: a secondary analysis Association between age and length of stay in the emergency department in a tertiary care hospital: a retrospective observational study Should we be advising patients to use topical silicone gel for wound care following facial laceration suturing in the emergency department ? 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

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Facial scarring, paracetamol overdose, and same day treatment: January 2026 Primary Survey is an episode from EMJ podcast by BMJ Group.

This episode is 28:35 long.

This episode was published on Dec 19, 2025.

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