Does adding REBOA to advanced life support improve outcomes in non-traumatic out-of-hospital cardiac arrest? This appraisal of REBOARREST examines the neutral trial results, delays to aortic occlusion and incomplete delivery of the intervention, and asks what remains uncertain.
Can prehospital emergency anaesthesia improve survival after major trauma? This review examines a UK study using machine learning and causal modelling, with attention to patient selection, residual confounding and why an observational estimate is not definitive proof of benefit.
Survival effect of prehospital emergency anaesthesia in major trauma Read More
What do trials of smoking cessation in the ED show? Greg Yates reviews the evidence for interventions that include nicotine replacement therapy, the variation in treatment effects and the unresolved questions about resources, follow-up and the emergency department’s role.
Fit to quit? The trial evidence for smoking cessation interventions in ED Read More
A case series from southern Gaza describes pericardiocentesis, drainage and intrapericardial tranexamic acid in 25 patients with penetrating cardiac tamponade. We examine the findings and their relevance to settings where emergency thoracotomy is unavailable, recognising the limits of this small study.
Does prehospital whole blood improve outcomes compared with blood components in traumatic haemorrhage? We critically appraise the SWiFT randomised trial, including its findings on death or massive transfusion within 24 hours and the limits of testing a prehospital-only intervention.
The RSI trial compared ketamine with etomidate for emergency intubation in critically ill adults. We examine the absence of a significant 28-day mortality difference, the cardiovascular findings around intubation and what the study does—and does not—mean for practice.
Paracetamol poisoning is an uncommon, but not rare, event in children. The treatment of choice is NAC. Should we be giving them the SNAP protocol?
Make it SNAPpy! Paracetamol overdoses in teenagers Read More
Should children with gastroenteritis receive take-home ondansetron after an emergency department visit? We critically appraise a randomised trial, examining its symptom score, return visits and intravenous fluid use, and why the author questions its implications for routine prescribing.
Gastroenteritis in children: should we be sending them home with ondansetron? Read More
