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There is so much I could write about the role and value of our own humanity in the Emergency Department although much of it has been said before by people far wiser than me. But there are situations when we are caught offguard; when things don’t go as we had hoped, or when they do -but a powerful and unexpected emotional reaction is evoked.

There has been much debate about the use of high sensitivity troponins in the ED over the last year, but the picture is getting clearer as we see more trials looking at the utility of the assay in practice.

Lee Fineberg and Mark Newcombe are Emergency Physicians and Helicopter-Retrieval specialists from Australia, but more than that they seem to be a couple of top chaps who have devoted a great deal of time and energy into sharing emergency medicine around the world.

Simon Carley introduces Joe Lex

Just a quick review of a thought provoking paper in the Annals of Emergency Medicine from a group of docs in Melbourne Australia. It's thought provoking as I suspect that this reflects practice in many EDs across the developed world.