The OnScene study reports almost double the survival to hospital discharge in selected patients with refractory out-of-hospital cardiac arrest treated within a prehospital ECPR-capable system. With survival of 40% versus 20%, and substantially shorter times to extracorporeal circulation, could bringing ECMO to the patient transform cardiac arrest care? We examine the findings, limitations and implications for emergency medicine, HEMS and future resuscitation systems.
Practical tips for open fracture management in resus: early antibiotics, neurovascular assessment, splinting, wound dressings and timely specialist care. #FOAMed on @stemlyns
Could the NHS cope with a major conflict? In Part 2 of our St Emlyn's briefing, we explore how military casualties, reduced hospital capacity, infrastructure disruption and workforce pressures could affect everyday emergency care — and why we need to start preparing now.
Writing from EMCON 2026 in Mumbai, Iain Beardsell considers how technology can help doctors learn without replacing the people who teach them. A missed diagnosis, a call for help and the difficulty of finding time to talk raise questions about trust, supervision and becoming ready for independent practice.
St Emlyn's briefing | October 2026 Ed - this is a long read which is not our usual style, but there is much to be covered here. I hope you make it to the end (and some great references and further reading).
Journal Club review of a public health paper on e-scooter injuries and they risk they pose to patients, especially children and the implications for EM. #FOAMed
