October 6, 2026
Crush injury needs tailored fluid resuscitation
Assess deficits, shock and mechanism before deciding how much fluid a patient with crush injury needs.
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October 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 briefingOctober 3, 2026
When chest pain still needs troponin
Atypical symptoms and absent risk factors do not reliably exclude myocardial infarction.
Read briefingOctober 2, 2026
When microbiology results mislead treatment
CRP, dipsticks and cultures need clinical context before they change antibiotic treatment.
Read briefingOctober 1, 2026
Older abdominal pain needs a lower CT threshold
Minimal tenderness is less reassuring in older adults, so CT should remain readily considered.
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 26, 2026
Thoracotomy decisions need more than arrest time
Wound location and ECG rhythm can sharpen thoracotomy decisions in traumatic cardiac arrest.
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 22, 2026
When missed dialysis becomes an emergency
AEIOU separates a missed dialysis session from physiological problems that need emergency dialysis.
Read briefingSeptember 20, 2026
Does paracetamol add to morphine?
Adjunctive intravenous paracetamol may help acute pain, but the trial leaves clinically important uncertainty.
Read briefingSeptember 18, 2026
A raised troponin is not (always) an infarction
Troponin change identifies myocardial injury; mechanism, timing and imaging determine whether it is infarction.
Read briefingSeptember 17, 2026
Back pain before the weakness starts
Spinal epidural abscess can be advanced before fever or neurological deficits appear.
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