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How should leaders respond when a team faces a serious failure? At Tactical Trauma 2024, RCMP commander Kevin Cyr discusses visible leadership, support that continues beyond the immediate aftermath and debriefing for practical learning, with reflections on what healthcare teams can take from his experience.

The July 2024 podcast round-up covers MACS chest pain scores, AI-assisted ECG interpretation, non-fatal strangulation and prehospital partial REBOA. Paediatric topics include eating disorders, hybrid closed-loop insulin pumps and button battery ingestion, alongside discussion of a lidocaine patch feasibility study for rib fractures.

What does a crowded emergency department feel like to patients and their families? Liz Crowe reviews a small qualitative interview study exploring loss of autonomy, unmet expectations and vulnerability, then considers practical ways to improve communication, comfort and attention to basic needs.

This 2024 article reviews intercollegiate guidance on non-fatal strangulation in adults and adolescents. It covers assessment, red flags and imaging alongside safeguarding and sensitive communication, emphasising the importance of considering both physical injury and the patient's continuing safety.

The May 2024 podcast round-up includes RCEM conference highlights and a framework for the emergency physician in charge. Simon and Iain also discuss AI-generated exam questions, rib fracture analgesia, how to judge intubation success and the return of measles.

Iain and Simon review the April 2024 posts, covering bougies, cardiac arrest, trauma and sepsis. They also discuss race in medicine, global health and choosing commitments deliberately, with learning from the RCEM CPD conference and the emergency medicine conference in Graz.

Iain and Simon review the January 2024 posts, including airway management in acute poisoning, staff retention and working conditions in emergency medicine. They also discuss Liz Crowe's reflection on habits, resolutions and making changes that last.

Why do New Year's resolutions so often fade? Liz Crowe explores the difference between motivation and habit, using cues, behaviour and rewards to think about change. Her reflection offers practical examples of starting small, shaping routines and responding kindly to setbacks.

Iain and Simon review the October and November 2023 posts, including CRYOSTAT-2, the DAShED study and the annual ILCOR update. The episode also considers emergency department flow, the value of silence and the emergency care community's humanitarian voice.

Liz Crowe reflects on noise, constant stimulation and the difficulty of finding quiet in a busy life. She explores what silence can offer and suggests ways to make space for it, including small pauses during demanding clinical shifts.