Autumn is here, and winter is on its way. In children with gastroenteritis, should we be prescribing take-home doses of ondansetron?
Gastroenteritis in children: should we be sending them home with ondansetron? Read More
The 2025 Medical Training Review (MTR) is the most significant rethink of UK postgraduate medical education in decades. It calls for more flexible, inclusive, team-based training that recognises learning across all grades, not just numbered trainees. For emergency medicine, this may mean redesigning pathways to include SAS and LED doctors, refreshing the RCEM curriculum, and re-establishing supportive team structures. EM must lead the way in creating sustainable, flexible, and patient-centred training for the next generation.
What does the Medical Training Review mean for Emergency Medicine training in the UK? Read More
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical appraisal.
Factors in the Initial Resuscitation of Patients With Severe Trauma – The FiiRST-2 Trial Read More
The NHS drowns in innovation whilst repair work goes unsupported. Why Bronson’s Design as Repair framework matters for emergency medicine.
Design as repair: what Emergency Medicine can learn (and why it is so hard) Read More
The SUPERB trial compared ultrasound-guided supraclavicular block with Bier block for distal forearm fracture reduction in the ED. Both provided excellent pain relief, with supraclavicular block noninferior and offering longer analgesia. Safe, feasible, and well-tolerated, this trial supports expanding regional anaesthesia options for emergency physicians managing upper limb injuries.
Learn more about innovations in Cardiac Arrest management: 3 quick hits to stay prepared and respond effectively in critical situations. @stemlyns #FOAMed
Cardiac arrest: three quick hits Read More
From St Emlyn’s journal club: are we overtreating sepsis? US study finds 87% received unnecessary or overly broad antibiotics in ED.
JC: Are we overtreating suspected sepsis with broad-spectrum antibiotics? Read More
The EVIDENCE trial asked if rapid transport with ongoing CPR improves survival in refractory out-of-hospital cardiac arrest. Results: no clear benefit over on-scene resuscitation.
