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This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA).

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.

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.

In this episode of the podcast, Andrew Petrosoniak leads us through how simulation can be used beyond education for system design and improvement.

Day three of the RCEM Annual Scientific Conference 2024 brings together challenges to clinical dogma, preparation for rare procedures and shared decisions about chest pain. The report also reflects on compassionate care, team resilience and the experience of working in an emergency department.

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.

Rick Body reflects on publishing research through open, ongoing peer review, where articles appear before review and subsequent comments and revisions are public. His experience opens a discussion about transparency, delays and whether peer review should be a continuing conversation rather than a publication gatekeeper.

The June 2024 podcast round-up discusses nebulised ketamine, intubation risks, defibrillation strategies and preoxygenation, including the PREOXI trial. It also considers how to give better presentations and how research findings translate into practice when equipment and local routines differ.

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.