June 7, 2026
Paediatric sepsis boluses, exertional breathlessness and atrial septal defects
A febrile child in shock needs a measured bolus, documented reassessment and early escalation, not automatic fluid cycling.
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June 7, 2026
Stroke thrombolysis, DOAC exposure and RAAS physiology
Recent anticoagulant use changes thrombolysis assessment, but it should not slow a disabling stroke alert in practice.
Read briefingJune 5, 2026
Stroke alerts, quinsy and ACS access planning
Persistent unilateral weakness or speech disturbance needs broad stroke activation before clock time narrows imaging-selected thrombolysis assessment too early.
Read briefingJune 2, 2026
Acute pulmonary embolism, exertional syncope and fulminant colitis
Normal blood pressure in acute PE should not end reassessment; exertional presyncope adds ECG and perfusion clues.
Read briefingMay 31, 2026
Raised troponin, stent thrombosis and disaster medicine
Raised troponin with urinary sepsis needs symptoms, ECG and haemodynamics checked before type 1 myocardial infarction pathways take over.
Read briefingMay 30, 2026
Aortic dissection, febrile infants and headache treatment
Sudden maximal chest pain with syncope or neurological signs needs aortic CTA before anticoagulation escalates on an acute coronary syndrome pathway.
Read briefingMay 28, 2026
Drug-induced seizures, post-operative atrial fibrillation and CCTA
A first seizure during acute illness needs medication and renal-function review before long-term antiseizure treatment becomes the default.
Read briefingMay 26, 2026
Mild traumatic brain injury, GLP-1 endoscopy holds and CRT
Traumatic CT bleeding with GCS 13–15 needs measured imaging details, observation length and neurosurgical access documented before ED disposition.
Read briefingMay 25, 2026
Aortopathy, ECMO in cancer and gastroenteritis
An asymptomatic dilated ascending aorta needs whole-aorta imaging; sudden chest or back pain adds haemodynamic control and surgical discussion.
Read briefingMay 22, 2026
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Transient ischaemic attack, atrial fibrillation and paediatric cardiac arrest
Resolved arm weakness still needs aspirin, urgent imaging and ECG before early stroke prevention is delayed.
Read briefingMay 18, 2026
Drug-induced lung disease, aortic stenosis and infectious mononucleosis
Prioritise drug-induced ILD, then use valve thresholds for aortic stenosis and EBV clues in sore throat assessment.
Read briefingMay 17, 2026
Bradyarrhythmia, syncope and paediatric wrist fractures
Slow pulse, syncope and paediatric wrist deformity both need clinical context before a number or X-ray drives management.
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