Finding one spinal fracture raises the question of injury elsewhere in the spine. This trauma team leader tip discusses the rationale for whole-spine imaging, the roles of CT and MRI, and circumstances that may call for a different approach.
Does early ambulatory ECG monitoring help after unexplained syncope? This review of ASPIRED weighs increased arrhythmia detection and treatment changes against the lack of improvement in recurrent syncope, and explores the practical questions for an emergency care pathway.
Manual pressure augmentation reduces transthoracic impedance during defibrillation, but does that translate into better outcomes? We review the AUGMENT-VA randomised trial and revisit our previous BestBET on this intervention.
The RCEM Annual Conference comes to Manchester on 13–15 April 2027. Simon Carley invites colleagues from the UK and around the world to share research, education and ideas, with emergency medicine across borders among the developing programme's themes.
Good listening strengthens patient safety, trust and teamwork—but distraction makes it increasingly difficult. Explore the five levels of listening and practical ways healthcare professionals can become more attentive, empathic listeners.
Why can delays persist even when individual parts of an urgent and emergency care pathway work well? Stevan Bruijns examines the gaps between emergency care, acute care and discharge, and the often unrecognised work of bed and site managers who connect them.