Cardiac arrest debriefs should include the defibrillator pads, not only timings. The RCEM update puts true lateral pad placement under the axilla and anterior-posterior vector change after three failed shocks ahead of routine dual sequential defibrillation.

The pitfall is reaching for oral opioids in a child with limb pain or sending a sexual assault patient onwards before the first injury review. This update is worth opening for two practice changes: ibuprofen-first analgesia in selected injuries, and trauma-informed emergency care that actively checks bleeding, strangulation, prophylaxis, and safeguarding.