The first day of the RCEM Annual Scientific Conference 2024 in Gateshead explores the future of emergency medicine, workforce pressures and emerging drug toxicity. The report also covers the climate emergency and practical efforts to make emergency departments more environmentally sustainable.
RCEM Annual Scientific Conference 2024 Read More
This blog post reviews a study comparing non-invasive blood pressure (NIBP) and invasive blood pressure (IBP) monitoring in pre-hospital critical care.
Non-invasive or arterial pressure monitoring in PHEM? Read More
A Central Australian case series explores adrenaline infusions for shock in remote settings with limited resources. This appraisal examines the observational evidence, gaps in the safety data and practical concerns about labelling, flow control and supervision before considering wider use of the technique.
The Dirty Adrenaline (Epi) drip. Read More
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.
Open and Ongoing Peer Review: A New Model for Scientific Research Read More
How feasible is a definitive trial of lidocaine patches for older patients with rib fractures? This appraisal examines recruitment, treatment crossover and follow-up in a randomised feasibility study, explaining why its clinical findings cannot establish whether patches improve pain or recovery.
Lidocaine Patches for Elderly Patients with Rib Fractures: A Feasibility Study Read More
A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.
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.
Non-fatal strangulation Read More
How well do MACS, T-MACS and HE-MACS perform in emergency department patients with suspected cardiac chest pain? This appraisal examines a systematic review of their diagnostic accuracy, differences between study populations and the importance of external validation, while acknowledging the St Emlyn’s team’s involvement in developing the scores.
Systematic review of the Manchester Acute Coronary Scores. Read More
