Emergency Medicine

How can the trauma team leader help specialists agree a timely plan for a patient with a significant pelvic fracture? This guide focuses on coordinating resuscitation and bleeding control, resolving competing priorities and planning for deterioration or delay.

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.

Finding one spinal fracture raises the question of injury elsewhere in the spine. This trauma team leader tip discusses the rationale for whole-spine imaging, the roles of CT and MRI, and circumstances that may call for a different approach.

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.

The RCEM Annual Conference comes to Manchester on 13–15 April 2027. Simon Carley invites colleagues from the UK and around the world to share research, education and ideas, with emergency medicine across borders among the developing programme's themes.