How seriously should we take ST depression when the patient is now pain-free? This hypothetical cardiology case explores dynamic ECG changes, serial troponin results and clinical context, then reviews the 2012 evidence on when patients with NSTEMI should undergo coronary intervention.
How should traumatic cardiac arrest differ from a standard resuscitation algorithm? Natalie May reflects on a difficult early experience and reviews the 2012 debate around reversible causes, chest compressions, ultrasound and emergency thoracotomy, including the uncertainty created by small observational studies.
Could some children needing wound care avoid procedural sedation? Simon Carley's 2012 reflection describes how LAT gel changed practice in his department, while distinguishing relief of pain from management of fear and distress, and considering when additional sedation may still be needed.
Does this patient need an arterial blood gas, and what will you do with the result? This 2012 discussion challenges routine arterial sampling, considers venous gases and pulse oximetry, and argues for choosing investigations that answer a specific clinical question while minimising avoidable pain.
Mushroom poisoning can present very differently depending on the species involved. This 2012 overview considers fly agaric, death cap and deadly webcap exposures, including delayed liver or kidney injury, and reflects on the difficulties of making treatment decisions when the evidence is limited.
How should a clinical topic review be organised for assessment? In this 2012 FCEM preparation article, Simon Carley connects the written structure with the published marking scheme and explains how the written review, examiner discussion and viva fitted together.
Practical perspectives on trauma care and team leadership.
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