How common is venous thromboembolism after major trauma, and who is most at risk? This 2017 systematic-review appraisal finds widely varying estimates and limited evidence, exploring why differences in populations and testing make simple conclusions difficult.
Does apnoeic oxygenation help during emergency department intubation? This appraisal of the 2017 ENDAO trial questions whether average oxygen saturation captures the outcome that matters, examining exclusions, sample size and the uncertainty around patients most likely to desaturate.
Katherine Gridley reports from the 2017 ACEM Winter Symposium in South Australia. The review spans decision-making, research translation, emergency psychiatry, paediatrics and critical care, alongside practical workshops on simulation, exam performance and preparing for major incidents.
A visit to Air Zermatt prompts Ashley Liebig to reflect on how teams learn from mistakes. Beyond the mountain rescues, she finds mutual respect, openness about near misses and questions about how healthcare educators can build a similar culture.
The final day of dasSMACC 2017 brings education, human factors and the human cost of healthcare into focus. This report reflects on simulation, learning from failure, burnout and global solidarity, alongside powerful contributions from patients, clinicians and educators.
Day two of dasSMACC 2017 asks how professional tribes, team dynamics and complexity influence care. The report also covers equality, knowledge sharing and resuscitation debates, bringing together reflections on how emergency and critical-care teams work under pressure.