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Roberto Cosentini returns to reflect on staff wellbeing after the first COVID-19 surge in Bergamo. This July 2020 conversation explores routines, relationships, interests outside medicine and sharing experiences, drawing on his personal response to an exceptionally difficult period.

This book brings together the best of the journal club posts from the St Emlyn’s blog and podcast. Journal Clubs have been a focus of our work and research for […]

This book brings together the best of the journal club posts from the St Emlyn’s blog and podcast. Journal Clubs have been a focus of our work and research for […]

Do longer ultrasound-guided peripheral cannulas last longer in patients with difficult intravenous access? This randomised-trial appraisal explores catheter survival, insertion success and the amount of catheter within the vein, while distinguishing longer peripheral cannulas from midlines and considering the study's protocol limitations.

Pete Hulme reports from Tactical Trauma 2019 in Sweden, bringing together lessons from prehospital teams, police and emergency services. The review explores bystander response, haemorrhage control, triage and team leadership when trauma care takes place in difficult environments.

Simon Carley selects papers from 2018–2019 for his RCEM conference talk, explaining why they might influence emergency medicine practice. Topics include paediatric seizures, cardiac arrest and pulmonary embolism in pregnancy, with links to fuller appraisals of the studies.

What makes a resuscitationist beyond technical skill? Dan Horner’s talk and accompanying reflection explore clinical judgement, team leadership, communication and the systems that support resuscitation, including the difficult decisions about when treatment may no longer help.

Chris Gray explores the team response to major upper gastrointestinal bleeding in this St Emlyn’s Live talk and accompanying article. The focus is on coordinating emergency care with anaesthesia, critical care, the blood bank, endoscopy and interventional radiology.

Can capillary refill time guide resuscitation as effectively as lactate measurements in septic shock? Dan Horner appraises the 2019 ANDROMEDA-SHOCK trial, examining its mortality results, sample size and potential bias, alongside the value of repeated clinical assessment.

SMACC 2019 opened with patient stories, grief and compassionate communication before moving into bedside critical care. This report covers obstetric emergencies, echocardiography and prehospital trauma debates, showing how the Sydney meeting connected technical decisions with the people receiving care.