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Rich Carden and Chris Gray reflect on SMACC Dublin in 2016 from a trainee perspective. Their account connects clinical debate and diagnostic reasoning with fear, wellbeing, gender equity and the personal encounters that made the conference a reflective as well as educational experience.

Who shapes the work of an emergency physician beyond the resuscitation room? In the third part of this 2016 series, Simon Carley explores funding, targets, specialist services and workforce pressures, asking how political and organisational choices might change the scope of emergency medicine.

How might technology change what counts as an emergency? This 2016 essay explores wearable monitoring, diagnostic decision support and the shift towards predicting disease, while questioning overdiagnosis, unequal access and the opportunity costs of investing in new clinical technologies.

An ageing population changes more than the number of patients arriving in the emergency department. This opening essay in the 2016 ‘Big Questions’ series examines complex illness, social care needs and an ageing workforce, arguing for training and service planning that look beyond immediate pressures.

What can hospital educators learn from prehospital training? Drawing on her experience with Sydney HEMS, Natalie May explores team induction, maintaining competence and a supportive learning culture, asking how simulation, regular practice and case review could strengthen education inside the emergency department.

Natalie May’s SMACC Dublin workshop notes review the 2015 paediatric and neonatal resuscitation guidelines. This historical teaching resource covers airway and ventilation, unexpected deliveries, care after resuscitation and communication with families, explaining why newborn resuscitation needs particular preparation.