What does pooled patient-level evidence from PARAMEDIC3 and IVIO tell us about which vascular access route to try first? Simon Carley examines survival, neurological outcomes and the practical limits of the findings for out-of-hospital cardiac arrest.
Which patients with chest pain actually need a troponin? Rick Body looks at how much we can trust the history, cardiovascular risk factors and our own clinical judgement before deciding to test.
What can teams optimise in shockable cardiac arrest before considering ECPR? This report from The Big Sick explores defibrillation, interruptions to compressions and physiology-guided resuscitation, including the evidence gaps and debate around emerging approaches.
Rick Body explains what the fifth universal definition changes for emergency clinicians. The article covers the revised MI classification, sex-specific troponin thresholds, the role of imaging and the distinction between myocardial injury and infarction.
Does early ambulatory ECG monitoring help after unexplained syncope? This review of ASPIRED weighs increased arrhythmia detection and treatment changes against the lack of improvement in recurrent syncope, and explores the practical questions for an emergency care pathway.
Manual pressure augmentation reduces transthoracic impedance during defibrillation, but does that translate into better outcomes? We review the AUGMENT-VA randomised trial and revisit our previous BestBET on this intervention.
Practical perspectives on trauma care and team leadership.
Explore the series →