October 27, 2026
Pulmonary embolism: shock before hypotension
A maintained blood pressure may conceal deteriorating right ventricular function and organ perfusion in pulmonary embolism.
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October 18, 2026
What survival statistics miss after ECPR
A favourable neurological outcome can conceal persistent emotional, cognitive and functional difficulties after ECPR.
Read briefingOctober 17, 2026
The cost of waiting in tactical trauma
Simple trauma triage helps balance delayed care against the risks of acting at dangerous scenes.
Read briefingOctober 5, 2026
Vasopressors need not wait for central access
A functioning short peripheral IV can start vasopressors promptly, provided the site is closely monitored.
Read briefingSeptember 29, 2026
Choose inotropes by physiology, not pressure
Inotrope choice starts with perfusion, heart rate and afterload, not blood pressure alone.
Read briefingSeptember 24, 2026
When ventilation makes shock worse
Positive pressure changes preload and afterload, so its haemodynamic effect depends on the failing circulation.
Read briefingSeptember 23, 2026
Cooling longer after cardiac arrest adds little
TTM2 and ICECAP separate fever control from the unanswered question of whether hypothermia helps.
Read briefingSeptember 14, 2026
Brain death requires a complete assessment
Residual responses, confounders or incomplete testing can prevent a brain death diagnosis despite devastating injury.
Read briefingSeptember 13, 2026
The physiology changes when bypass starts
Bypass deliberately alters blood, temperature and coagulation, so abnormal numbers need physiological interpretation.
Read briefingSeptember 12, 2026
When a chest drain can wait
Stable trauma patients with pneumothorax may reach CT before chest drainage when physiology and logistics allow.
Read briefingSeptember 11, 2026
Preventing secondary injury after severe TBI
In severe head injury, protecting oxygenation and cerebral perfusion starts before the CT scan.
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.
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