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Iain Beardsell shares lessons from ten years of trauma team leadership, based on his 2022 RCEM CPD presentation. The post follows preparation, patient arrival and progression towards definitive care, with an emphasis on communication, checklists, practice and feedback.

A 2022 appraisal of RePHILL, comparing prehospital packed red cells and freeze-dried plasma with saline for traumatic haemorrhagic shock. It examines the neutral trial result, composite outcomes and patient selection, and asks what questions remain about prehospital transfusion.

Recordings and commentary from SASEM 2022 on evidence for emergency airway management, including cardiac arrest, video laryngoscopy and surgical airways. The post also includes talks on research from 2021 and troponin-based assessment of possible myocardial infarction.

Simon Carley's SASEM 2022 talk challenges familiar assumptions in resuscitation. The accompanying post explores airway management, chest drainage, calcium, transfusion and team behaviour, asking whether procedures are driven by patient need or clinicians' habits and preferences.

Iain and Simon revisit highlights from the St Emlyn's blog in December 2021. The episode combines the monthly round-up with reflections on the year and a look ahead to 2022.

The St Emlyn's team look back on 2021: clinical work, pandemic research, teaching and life beyond medicine. Personal reflections sit alongside favourite books, music and podcasts, with thoughts on connection, learning and the year ahead.

How should emergency care respond when demand exceeds available resources? Drawing on civilian and military experience, Simon Horne explores the tension between capacity and quality, arguing for honest priorities, less low-value activity and reliable delivery of the best care resources allow.

A 2021 review of pulse oximetry accuracy in patients assessed for ECMO. It examines differences in unrecognised hypoxaemia between reported racial groups, the limitations of retrospective data and why skin pigmentation needs more precise investigation than broad racial classifications allow.

Revisiting his debate with Scott Weingart, Simon Carley asks whether emergency medicine can continue to be everything to everyone. This 2021 reflection considers the specialty's core work, increasing subspecialisation and the continuing need for generalists in less-supported settings.

Dan Horner's Difficult Airway Society 2021 talk examines emergency airway management through three priorities: cardiovascular stability, oxygenation and first-pass success. The transcript connects the evidence with preparation, multidisciplinary teamwork and local systems that support safer care across departments.