The Ket-Mid trial tested adding ketamine to midazolam for initial treatment of paediatric convulsive status epilepticus. We review its seizure-control findings and explain why the single-centre setting, delayed treatment and differences from UK practice make the author cautious about changing care.
Can bedside mixtures provide a reliable calcium gel for hydrofluoric acid burns? Greg Yates reviews a laboratory study of viscosity and calcium concentration, and considers what its findings mean for stocking commercial antidote supplies in emergency departments.
A review of the GECCO (Global health and emergency care) research summit in the UK bringing together expert speakers, panelists and workshop facilitators.
Emergency Department Management
An imagined look back from 2038 asks how emergency medicine might recover from its current pressures. The piece explores virtual emergency departments, artificial intelligence, collaborative leadership and cultural change as parts of a possible future, rather than a record of events that have happened.
Could stellate ganglion block have a role during refractory cardiac arrest? This appraisal examines a scoping review of 32 reported cases, the rationale for the technique and why publication bias and other treatments make the apparent benefits difficult to interpret.
How should we assess children with one or two positive PECARN abdominal trauma criteria? This appraisal examines a secondary analysis of the prediction rule, the different risks associated with individual findings and the continuing role of clinical judgement and repeated assessment.
Practical perspectives on trauma care and team leadership.
Explore the series →