Happy New Year! This month we've got a New in EM looking at the use of neutrophil-lymphocyte ratios in septic arthritis and a discussion on specificity vs. sensitivity. Becky and Chris look at the new NICE guidance on subarachnoid haemorrhage and Rob talks for too long about it, and then we return to New Online with some new articles for your CPD. If you'd like to email us, please feel free to do so here. here. (02:38) New in EM – Neutrophil:lymphocyte ratio in septic arthritis - Synovial Fluid and Serum Neutrophil-to-Lymphocyte Ratio Novel Biomarkers for the Diagnosis and Prognosis of Native Septic Arthritis in Adults (14:49) Guidelines for EM – NICE Guidance on the diagnosis and management of subarachnoid haemorrhage NICE NG228 - Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management An Observational Study of 2,248 Patients Presenting With Headache, Suggestive of Subarachnoid Hemorrhage, Who Received Lumbar Punctures Following Normal Computed Tomography of the Head - Sayer et al. (2015) Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule - Perry et al. (2020) An international study of emergency physicians' practice for acute headache management and the need for a clinical decision rule - Perry et al. (2009) The SHED Study - TERN (56:21) New Online – new articles on RCEMLearning for your CPD GAS, iGAS and Scarlet Fever – Nikki Abela Agents of Change – Public Health in ED – Ines Corcuera and Michelle Ryan

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