Can an early exercise programme improve recovery after blunt chest trauma? We review the ELECT2 randomised trial, its findings on pain and quality of life at three months, and what the results mean for rehabilitation practice.
What can a Japanese surveillance study tell us about the safety of fomepizole in suspected methanol and ethylene glycol poisoning? Greg Yates reviews the reported adverse reactions, the study’s limitations and the uncertainty when the initial diagnosis is wrong.
Toxic alcohol poisoning: What do we know about fomepizole, methanol and ethylene glycol? Read More
What happens after an overdose of a GLP-1 agonist such as semaglutide? This appraisal examines US poison-centre data on dosing errors, reported symptoms and hypoglycaemia, and considers how incomplete reporting and broad outcome definitions limit what the study can tell emergency clinicians.
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).
Does a 2 g TXA bolus differ from a 1 g bolus followed by a 1 g infusion in traumatic brain injury? This appraisal examines a subgroup analysis of patients with CT-confirmed bleeding, separating its mortality and neurological findings from the limits of post hoc evidence.
2g or 1+1g Tranexamic Acid (TXA) in traumatic brain injury? Read More
Does starting with anterior-posterior rather than anterior-lateral pads improve cardiac arrest outcomes? This appraisal examines an observational study in out-of-hospital VF or pulseless VT, distinguishing return of spontaneous circulation from longer-term survival and considering the biases that prevent a firm change in practice.
AP or AL pad position for first choice shock in VF? Read More
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.
RCEM Annual Scientific Conference. Day 3. Read More
Day two of the RCEM Annual Scientific Conference 2024 ranges from emerging infections and frailty to trauma imaging and trainee wellbeing. This report from Gateshead also includes reflections on careers in emergency medicine and the challenges of humanitarian work.
RCEM ASC conference 2024. Day 2. Read More
