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Can cardiac output help explain patient flow? This article uses preload, contractility and afterload as a metaphor for arrivals, staff and resources, and exit block, showing why changes to one part of urgent care must account for the whole system.

Natalie May shares notes from day two of the 2021 Paediatric Emergencies Colloquium. The sessions cover paediatric pain management and sedation, acute respiratory distress syndrome and toxicology, combining conference learning with her own clinical reflections.

Paediatric dental trauma, metabolic emergencies and vaping feature in Natalie May's notes from day one of the 2021 Paediatric Emergencies Colloquium. She draws out practical learning points from the virtual meeting and reflects on their relevance to emergency care.

Iain and Simon's August 2021 podcast round-up revisits highlights from the blog. The linked notes cover the RECOVERY-RS respiratory-support trial, therapeutic anticoagulation in hospitalised COVID-19 patients and findings from the 2020 emergency medicine trainees' survey.

Simon Carley's selection of ten trauma papers for the 2021 Trauma Care UK conference spans haemorrhage control, airway intervention and traumatic brain injury. The review considers what the findings add to practice and where trial design or uncertainty limits their interpretation.

What did emergency medicine trainees report in the 2020 EMTA survey? This review examines flexible working, protected development time, fatigue and bullying, alongside effective supervision and training opportunities, and asks departments to turn the findings into action.

A podcast round-up of the St Emlyn's blog from June and July 2021. The linked reading spans thunderstorm asthma, COVID-19 treatment trials, ultrasound in shock, post-arrest temperature management and equitable publishing, alongside education, research careers and medical fiction.

Does cooling to 33°C improve outcomes after out-of-hospital cardiac arrest? This 2021 review of TTM2 compares hypothermia with actively managed normothermia, examining survival, neurological outcomes, adverse events and why fever control should not be confused with leaving temperature unmanaged.

What does access to a research paper cost its intended readers? Part two of this series explores purchasing power, publication fees and barriers faced in lower-income countries, then considers green open access, self-archiving and preprints as routes to wider dissemination.

Applying for a clinical education fellowship? Nick Smith draws on his experience of shortlisting and interviewing to explain how to demonstrate meaningful teaching experience, match an application to the person specification and prepare a convincing interview and teaching session.