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Should ventilation continue between induction and laryngoscopy during rapid sequence intubation? This 2019 appraisal examines a randomised trial in critically ill adults, weighing oxygen desaturation and aspiration outcomes against differences in technique, preoxygenation and the applicability of ICU findings to emergency departments.

The St Emlyn’s team looks back on 2018 through changes in clinical practice, memorable research, books, blogs and podcasts. Alongside personal highlights and experiences, contributors share what they learned and the people and ideas they were watching as 2019 began.

Simon Carley sets out five approaches to resuscitation practice that require no new equipment: preparation with the Zero Point Survey, regular team updates, separating immediate care from strategic thinking, peer observation and hot debriefs. This St Emlyn’s Live 2018 talk focuses on how teams work together.

What happens when a resuscitation conference puts multidisciplinary learning and simulation at its centre? This report from the inaugural ResusTO in 2018 explores team behaviours, systems design, deliberate practice and hands-on workshops, with reflections on how small changes might strengthen resuscitation performance.

This blog is based on a talk I’m giving this week at the International Conference of Emergency Medicine in Cape Town. I’m really delighted to be given the opportunity to […]

This preview of the September 2018 World Sepsis Conference considers what a free online meeting can offer. Simon Carley reflects on access, diversity, patient voices and the environmental costs of travel, asking how conferences might share learning more widely while retaining the value of meeting in person.

Fluids are drugs, with potential benefits and harms. Simon Carley examines a 2018 narrative review of intravenous fluids in critically ill adults, covering fluid choice, shock phases and evolving physiology. He also asks how to read expert reviews critically and remain open to evidence that challenges established practice.

Ahead of SMACC Sydney in March 2019, Simon Carley reflects on the conference’s influence on medical education and the St Emlyn’s team. This archived preview looks at the programme, workshops and community built around FOAMed as SMACC prepared to return to where it began.

Natalie May rounds up apps discussed in the technology session at EMSA 2018. The selection spans clinical reference, simulation, ultrasound, professional learning and everyday organisation, with examples of how speakers used these tools in practice. It offers a snapshot of their digital toolkit at the time.

Preparing for Manchester’s 2018 festival season, this article explores the emergency consequences of MDMA and other recreational drugs, including hyperthermia and hyponatraemia. It connects clinical preparedness with harm reduction and the importance of responding to patients without judgement, rather than focusing only on the substances involved.