What makes an excellent emergency physician? Is it knowledge, technical skill or diagnostic brilliance? Drawing on research, personal experience and lessons from a career in emergency medicine, we explore the qualities that truly define clinical excellence.
Jack Lyon examines the evidence for sedation in prehospital acute behavioural disturbance, including ketamine, midazolam and droperidol. The review considers effectiveness, adverse events and the limitations of the studies, alongside the skills and resources needed to manage complications.
Does adding REBOA to advanced life support improve outcomes in non-traumatic out-of-hospital cardiac arrest? This appraisal of REBOARREST examines the neutral trial results, delays to aortic occlusion and incomplete delivery of the intervention, and asks what remains uncertain.
Situational awareness is a core trauma team leadership skill. Learn how high-performing TTLs use perception, comprehension, and projection to stay proactive in trauma resuscitation.
Can prehospital emergency anaesthesia improve survival after major trauma? This review examines a UK study using machine learning and causal modelling, with attention to patient selection, residual confounding and why an observational estimate is not definitive proof of benefit.
Practical trauma handover advice for trauma team leaders in emergency medicine. Learn how to structure ATMIST handovers, prepare resus before arrival, improve teamwork with HEMS crews, and optimise patient safety in major trauma.