September 13, 2026
The physiology changes when bypass starts
Bypass deliberately alters blood, temperature and coagulation, so abnormal numbers need physiological interpretation.
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Cardiology
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September 8, 2026
Rethinking interruptions in the emergency department
A safer ED communication system separates urgent interruption from messages that can wait.
Read briefingSeptember 7, 2026
When a pericardial effusion becomes dangerous
Tamponade depends on impaired cardiac filling and haemodynamics, not simply the size of the effusion.
Read briefingSeptember 6, 2026
Post-cardiotomy collapse needs a different algorithm
After cardiac surgery, invasive data and procedure-specific responses can matter more than a generic arrest algorithm.
Read briefingSeptember 5, 2026
Finding arrhythmias without preventing syncope
Early extended ECG monitoring finds important rhythms sooner, despite no reduction in recurrent syncope.
Read briefingSeptember 4, 2026
When fast AF needs treating
In stable AF, the ventricular rate may reflect the illness driving it rather than the main problem.
Read briefingAugust 29, 2026
Endocarditis starts before the echocardiogram
Classical signs may be absent; culture volume and device-aware imaging carry more diagnostic weight.
Read briefingAugust 25, 2026
Was COPD mortality driven by steroid withdrawal?
A trial can exaggerate treatment benefit when its comparator removes established therapy.
Read briefingAugust 24, 2026
Why more time in bed can worsen insomnia
Chronic insomnia often persists through behaviours intended to protect sleep.
Read briefingAugust 17, 2026
Coronary imaging and diagnostic uncertainty
Match investigations to the clinical question, and avoid treating uncertain results as definitive.
Read briefingAugust 14, 2026
HIV harm reduction, tricuspid regurgitation and atypical parkinsonism
HIV harm reduction and tricuspid valve assessment with neurological diagnostic uncertainty, rheumatic fever and cancer nutrition
Read briefingAugust 12, 2026
Kawasaki disease, pre-pregnancy cardiac risk, and health misinformation
Pre-pregnancy cardiac risk and Kawasaki disease, critical interpretation of endotoxin removal in septic shock and more.
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