Latest posts

A review of a paper from the European Heart Journal looking at the prehospital use of troponin in patients with low risk chest pain.

Semi-structured interviews are a great way to get the really rich data we need to understand something in greater depth. They allow us to ask 'why?' as well as just 'what?', 'who?' and 'when?'.

How might research design, real-world data and artificial intelligence change evidence-based medicine? This 2023 discussion of Vivek Subbiah's Nature Medicine article considers implications for emergency care, with an additional experiment: ChatGPT helped write the post itself.

Iain and Simon review the January 2023 blog posts, with discussion of dual sequence defibrillation and concussion. The episode also includes an update on the plans for St Emlyn's WILD at the time.

Can remifentanil replace neuromuscular blockade for rapid sequence induction? Dan Horner appraises a randomised trial in operating-room patients at risk of aspiration, examining first-attempt intubation without major complications, the non-inferiority design and how the findings translate to emergency care.

A Dutch randomised trial tests extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest. This appraisal examines survival with favourable neurological outcomes, patient selection and delays to treatment, asking how much the result reflects the system delivering ECPR.