#FOAMed

Should trauma resuscitation pay more attention to diastolic blood pressure? Simon Carley discusses a physiological argument for rethinking systolic targets, its links with cardiac-arrest research and the evidence still needed before clear diastolic targets can be established.

This second collection of research from The Big Sick 2025 brings together brief appraisals of trials covering transfusion in brain injury, preoxygenation, sepsis care and out-of-hospital cardiac arrest. The post considers what the findings might mean for practice and where uncertainty remains.

Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why it’s a systemic issue rather than an individual failure, and what changes are needed to maintain competency.

In this podcast, explore how Dr. Matt Hooper’s concept of "compassionate resuscitation" integrates palliative care principles into emergency medicine, focusing on quality end-of-life care for patients, families, and providers.

Do physician-led prehospital teams improve outcomes for critically ill or injured patients? This appraisal examines a systematic review and meta-analysis, the differences between the patients and services included, and why largely observational evidence makes the size of any benefit uncertain.