Why can delays persist even when individual parts of an urgent and emergency care pathway work well? Stevan Bruijns examines the gaps between emergency care, acute care and discharge, and the often unrecognised work of bed and site managers who connect them.
What does the INTUBE cohort tell us about cardiovascular instability around intubation? This appraisal examines the association with propofol, the limits of observational evidence and what the findings may mean for induction drug choices in emergency and prehospital care.
Routine sodium bicarbonate has largely disappeared from modern ALS algorithms, but it continues to be used in many cardiac arrests. We review the BIHCA trial and discuss what it means for emergency physicians and prehospital clinicians.
Does intravenous magnesium improve outcomes for patients with acute non-traumatic headache in the emergency department? This review of a randomised trial examines the size of the analgesic benefit, adverse effects and whether a statistically positive result is enough to change practice.
ChatGPT can now pass many medical examinations with scores that exceed those of average candidates. Does that mean traditional assessments are no longer fit for purpose? We review the evidence and explore what AI means for emergency medicine education, MRCEM examinations and patient safety.
Emergency Department Management
Evidence from academic studies, professional bodies, coroners, NHS trusts and patient-safety investigators increasingly links corridor care and prolonged emergency department boarding with avoidable harm. Stevan Bruijns asks whether the evidence now warrants a formal public inquiry.
Practical perspectives on trauma care and team leadership.
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