#FOAMed

Could inhaling vapour from an isopropyl-alcohol wipe reduce nausea in the emergency department? This 2016 appraisal examines a small randomised trial, weighing its short-term symptom findings against concerns about blinding, patient selection and the lack of a direct comparison with other antiemetics.

When might an early CT scan change the need for lumbar puncture in suspected subarachnoid haemorrhage? This 2016 discussion reviews the evidence available then, scanner and reporting requirements, and conversations with patients about uncertainty, further investigation and the risks of testing.

An introductory 2015 overview of chemical, biological, radiological and nuclear incidents for emergency clinicians. The post considers recognising unusual presentations, triage, broad patterns of exposure and sources of specialist help, encouraging further preparation rather than presenting itself as a complete incident-management guide.

This December 2015 update introduces the James Lind Alliance’s emergency medicine priority-setting partnership with the Royal College of Emergency Medicine. The post and accompanying podcast explain an effort to bring patients, carers and clinicians together to identify important unanswered research questions.

How can emergency and critical care teams support families facing tragedy at Christmas while caring for themselves? Liz Crowe explores acknowledging grief, responding to the contrast with celebrations at home and helping colleagues make the transition between work and family life, with an accompanying podcast.

Chris Gray reports from the 2015 London Cardiac Arrest Symposium, covering adrenaline, care after resuscitation, mechanical CPR and survivors’ experiences. This conference archive captures the questions and uncertainties discussed at the time, before the results of the PARAMEDIC2 trial were available.