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Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why it’s a systemic issue rather than an individual failure, and what changes are needed to maintain competency.

Sean Brayford-Harris explains the development of the Ten Second Triage tool in this interview from Tactical Trauma 24. The discussion explores its use by police, fire and ambulance responders, and its emphasis on simple assessment and immediate lifesaving actions during mass casualty incidents.

The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour.

The holiday season, a time typically marked by joy and celebration, presents unique challenges for those working in emergency and intensive care units. This is a reminder of a podcast from 2016, where Liz Crowe discusses how to navigate the complexities of grief and gratitude during this time of year.

Based on a talk at EuSEM 2024, this reflection examines the ethical questions surrounding artificial intelligence in emergency care. Thought experiments explore trust, bias, privacy and the human relationship with patients, alongside AI's potential clinical uses.

Chris Bishop discusses the emerging use of VA ECMO for cardiovascular failure after trauma in this Tactical Trauma 2024 podcast. The interview considers patient selection after haemorrhage control, bleeding risks and the limited experience available to guide this approach.

All the best from the blog from September 2024, in our easy to digest podcast, including prehospital arterial blood pressure monitoring, dirty adrenaline and patient experience in the ED.

How can a busy emergency department make learning part of everyday work? This article explores psychological safety, leadership and shared reflection, with practical ideas ranging from brief debriefs to sharing learning between colleagues and testing small changes in practice.

Alice Hutin describes how the Paris SAMU team delivers prehospital extracorporeal CPR for selected patients with refractory cardiac arrest. Recorded at Tactical Trauma 2024, the interview explores on-scene logistics, patient selection, communication when eCPR is not appropriate and team debriefing.

The August 2024 podcast round-up explores the timing of critical procedures, smoking cessation in the ED, intranasal ketorolac for renal colic and open peer review. The discussion connects these posts with questions about clinical judgement, resources and how we assess evidence.