Prehospital teams get a broad clinical update covering proposed pathways for stable atrial fibrillation, low-risk chest pain and paediatric gastroenteritis. It also links Ebola preparedness, abnormal resting observations, cardiac-arrest performance data, hypothermia care and the uncertain observational evidence for naloxone in suspected opioid-associated cardiac arrest.

This update suits prehospital teams and resuscitation leads who need small safety behaviours refreshed. Suspected measles needs coordinated PPE, testing and reporting; gloves do not replace hand hygiene; early AED shock, structured consultation and tourniquet reassessment all have concrete system implications.

Posterior stroke is missed when clinicians exclude stroke because FAST signs are absent. Acute dizziness, vomiting, ataxia, nystagmus or visual disturbance should trigger transport or escalation on the wider pattern, not reassurance from a normal facial, arm or speech screen.

When chest pain, dizziness or hypotension do not sit neatly inside the first label, this episode gives a better script: verbalise uncertainty, name one can’t-miss diagnosis, and carry that risk clearly into handover.