Could cold saline given during out-of-hospital cardiac arrest improve survival? This 2016 appraisal of RINSE examines an early-stopped randomised trial, its lack of demonstrated survival benefit and concerns about harm, while distinguishing intra-arrest cooling from temperature management after resuscitation.
Can a single very low high-sensitivity troponin T result, combined with a non-ischaemic ECG, rule out myocardial infarction? Rick Body discusses a 2016 TRAPID-AMI analysis, its promising diagnostic performance and why excluding infarction does not automatically make discharge appropriate.
An archived guide to RCEM curriculum changes discussed in 2016, including leadership, non-technical skills, complex older patients and chronic disease. The post also explains how St Emlyn’s resources were mapped to curriculum topics to support teaching and examination preparation.
What forces might reshape emergency medicine over the next two decades? This companion to Simon Carley’s 2016 SMACC Dublin presentation introduces three linked discussions of demographics, technology and politics, inviting readers to look beyond today’s clinical workload to the specialty’s future.
Recreational nitrous oxide use can be easy to overlook when taking a drug history. This 2016 overview examines acute hypoxia and the neurological and haematological consequences associated with disrupted vitamin B12 function, drawing attention to presentations that may initially seem unrelated.
What should we make of a frightening episode in a baby who now looks well? This 2016 teaching post explores the change from ALTE to BRUE terminology, careful history-taking, alternative explanations and risk assessment, with attention to parents’ concerns and safety-netting.
Practical perspectives on trauma care and team leadership.
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