#FOAMed

Could serum neurofilament light chain help predict neurological outcomes after out-of-hospital cardiac arrest? Dan Horner’s 2019 appraisal examines an analysis of TTM trial samples, considering promising test performance alongside validation gaps, false predictions and the risks of relying on a biomarker in isolation.

Should adults receive midazolam or haloperidol before ketamine sedation in the ED? This 2019 trial appraisal weighs reduced agitation against longer recovery, examines the study’s size and outcome measures, and asks whether observed behaviour captures what matters to patients.

Clare Richmond discusses continuing development in prehospital and resuscitation practice in this presentation recorded at St Emlyn’s Live 2018. The accompanying introduction describes her focus on principles, training and practice, with a recording for clinicians interested in developing themselves and their colleagues.

This January 2019 update examines the November 2018 changes to the UK Green Book’s tetanus guidance. Chris Gray discusses wound classification, vaccination and immunoglobulin recommendations, then considers the evidence and unanswered questions behind those changes. It is a historical guideline discussion.

Must a new year begin with a plan to reinvent yourself? Liz Crowe reflects on resolutions, motivation and wellbeing, exploring small achievable changes, self-compassion and gratitude. Her account challenges all-or-nothing thinking and asks whether our goals reflect what we actually value.

The St Emlyn’s team looks back on 2018 through changes in clinical practice, memorable research, books, blogs and podcasts. Alongside personal highlights and experiences, contributors share what they learned and the people and ideas they were watching as 2019 began.