In our final show of 2024 recorded before Christmas we sum up the successes of the year and bring to you highlights from the PEM service along with another case of thoracic aortic dissection that highlighted the value of our supra-regional policy in managing these patients. We also discuss carotid artery dissection and a chest pain case along with an audit of ACP Radiology requesting, a QI project on head injuries in children. A snippet of outtakes as well as a scattering of (what were) seasonal jokes when we recorded this episode!Happy New Year!

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