Respiratory

Natalie May shares learning from the first day of ICEM 2022 in Melbourne. Topics include global health and pandemic response, cardiac arrest research, resuscitation in settings with limited resources and the need to rethink trauma care for older patients.

How should emergency care respond when demand exceeds available resources? Drawing on civilian and military experience, Simon Horne explores the tension between capacity and quality, arguing for honest priorities, less low-value activity and reliable delivery of the best care resources allow.

An August 2021 appraisal of the RECOVERY-RS preprint comparing CPAP, high-flow nasal oxygen and conventional oxygen for COVID-19 respiratory failure. It separates the findings on intubation from those on mortality and examines early stopping, crossover and possible treatment-decision bias.

What did emergency medicine trainees report in the 2020 EMTA survey? This review examines flexible working, protected development time, fatigue and bullying, alongside effective supervision and training opportunities, and asks departments to turn the findings into action.

An August 2021 appraisal of therapeutic-dose heparin in hospitalised COVID-19 patients without ICU-level organ support. It examines the multiplatform trial's benefits, bleeding-risk exclusions and composite outcome, and explains why these findings differ from those in critically ill patients.

A June 2021 review of early RECOVERY results for casirivimab and imdevimab in hospitalised COVID-19 patients. It explains the reported mortality benefit in patients without detectable antibodies, why that finding did not extend to the whole trial population, and the preliminary evidence available then.