A 2022 journal club on the FAKT trial of fentanyl during rapid sequence intubation with ketamine and rocuronium. It separates the primary blood-pressure outcome from secondary findings and considers how patient selection and drug timing affect interpretation.
Can head-up positioning combined with mechanical CPR and an impedance threshold device improve cardiac arrest outcomes? This 2022 appraisal examines an observational comparison, explaining why differences between cohorts and exploratory analyses limit the conclusions it can support.
A 2022 overview of severe traumatic brain injury, centred on preventing secondary injury before and during specialist transfer. Dan Horner discusses tiered management and unresolved questions about osmotherapy, blood-pressure targets and brain tissue oxygen monitoring.
When emergency departments are crowded, are we describing a risk or harm that is already happening? Simon Carley challenges the language used in patient safety discussions and argues for clearer communication about crowding and its consequences.
How do we protect the parts of emergency medicine that make a career sustainable when services are under constant pressure? This reflection explores teaching, research and professional development, and the role of leaders in preserving what gives colleagues energy and satisfaction.
A 2022 review of UK prehospital blood-product and calcium replacement protocols. The article explores variation between services, the limits of survey evidence and unanswered questions about calcium timing and dose, distinguishing associations with poor outcomes from evidence of treatment benefit.
Practical perspectives on trauma care and team leadership.
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