Simon Carley and Iain Beardsell discuss practical strategies for running in-situ and guerrilla simulation in emergency departments, covering leadership, logistics, and team learning.

Victoria Brazil joins the St Emlyn’s team to share three essential principles for delivering powerful medical presentations: connect, look/sound great, and keep it simple.

John Hell discusses the pathophysiology, imaging, and management of diffuse axonal injury, including fluid choices, prognostication, and early interventions in ED and ICU.

Simon Carley and Iain Beardsell break down the ED approach to syncope-including cardiac red flags, reflex causes, seizures, postural hypotension, and how to rule out life-threatening collapse.

Part 2 of the St Emlyn’s troponin special dives into high-sensitivity assays, analytical variation, delta interpretation, and the evolving NICE guidance for safer early rule-out of MI.

Simon Carley and Iain Beardsell discuss the emergency department approach to shortness of breath-covering resuscitation, early oxygen, key differentials, and a structured mental model for junior doctors.

Simon Carley and Iain Beardsell tackle the ED approach to headache-covering subarachnoid haemorrhage, meningitis, tumours, temporal arteritis, and migraine, with red flags and CT vs LP guidance.

Rick Body explains troponin’s physiology, renal clearance, timing, and early limitations of CK/LDH, introducing core concepts behind cardiac-specific assays in acute myocardial infarction.

Simon Carley and Iain Beardsell offer essential survival advice for junior doctors starting in EM, including hypothetical-deductive reasoning, red flag rule-outs, early pain relief, and when to escalate.

Simon Carley and Iain Beardsell critically examine emergency department targets in the UK-especially the 4-hour rule, trauma metrics, and financial penalties-highlighting the balance between clinical care, leadership, and measurement.