Several emergency medicine arguments sit inside this round-up, but the clearest bedside point is code red activation. Trigger it from active bleeding and shock physiology rather than waiting for certainty, then read the RSI paper from its primary mortality outcome before changing practice.

Start here. The useful correction is that shock after major trauma is not defined by blood pressure and does not stay haemorrhagic. This is the listen for repeated reassessment, early echo, haemorrhage control, and avoiding vasopressors as a substitute for volume and transfusion.

In refractory shockable arrest, repeating the same strategy late is rarely enough. The key learning point is to recognise refractory or recurrent VF early, distinguish vector change from double sequential defibrillation, and treat pad position and protocolled escalation as major determinants of defibrillation success.

Highlights from Day One of the London Trauma Conference including prehospital REBOA, point-of-care lactate, pelvic binders, and lessons from military trauma.

St Emlyn’s guides new ED clinicIains through a structured approach to chest pain-ruling out the big five and safely discharging the rest.

How to approach children presenting with shortness of breath in the ED: structured assessment, bronchiolitis vs wheeze, croup, oxygen, and escalation decisions.

Rick Body outlines how to get involved in emergency medicine research, debunking myths around time, funding, and work-life balance with practical tips and inspiring reflections.

Natalie May and Simon Carley discuss button battery ingestion in children-recognition, risks, radiology, management, and the importance of follow-up.

Simon Carley and Iain Beardsell explore the financial impact of coding in emergency medicine-why it matters, how it works, and what clinicIains need to know.

Rick Body and Iain Beardsell unpack the NICE guidance on high-sensitivity troponin, including rule-out protocols, assay caveats, and the ED implications of the 3-hour strategy.