EM Mastery
papercut lit review Occult Ventricular Fibrillation

Does occult Ventricular Fibrillation occur? If so what is the incidence and how does it appear on our ECGs?

This study answered these questions.

The...

Apr 23, 2026  READ MORE
papercut lit review pulmonary embolism New AHA PE Guidelines 2026

The new Clinical Practice Guidelines by the AHA on the Evaluation and Management of Acute Pulmonary Embolism have been published.
Here is a synopsis of...

Apr 23, 2026  READ MORE
papercut lit review septic shock The OPTPRESS Trial

Should we be targeting a higher MAP in that subset of patients with sepsis who progress to shock? There is a high mortality in this group and an even ...

Apr 23, 2026  READ MORE
papercut lit review resuscitation The ANDROMEDA-SHOCK-2 Trial

There is no optimal resuscitation strategy when dealing with septic shock. The management of fluids and vasoactive agents together with antibiotics is...

Apr 23, 2026  READ MORE
Noradrenaline vs Adrenaline in Post ROSC Shock

Post resuscitative shock, occurs in up to 70% of patients who achieve return of spontaneous circulation(ROSC)(1). The use of adrenaline is well establ...

Apr 23, 2026  READ MORE
defibrillation papercut lit review resuscitation Can we distinguish refractory VF from other types of VF?

Poor clinical outcomes occur in patients with refractory Ventricular Fibrillation (VF), which is defined as persistent VF following three consecutive ...

Apr 23, 2026  READ MORE
Can the ECG help us differentiate PE from ACS?

Pulmonary embolism(PE) and Acute Coronary Syndrome(ACS) causing ischaemia can sometimes be difficult to clinically differentiate. The patient with sin...

Apr 23, 2026  READ MORE
papercut lit review Evidence Based Emergency Tracheal Intubation

The Study
DeMasi SC et al. Evidence-based Emergency Tracheal Intubation. Am J of Resp and Crit Care Med. 2025:211: pp 1156-1164

This review looks at t...

Apr 23, 2026  READ MORE
papercut lit review The ICARUS-ED Trial

Sepsis is associated with morbidity and mortality.The presense of hypoalbuminemia is associated with poor outcomes in septic patients. Could administr...

Apr 23, 2026  READ MORE
Should we shock patients in Asystole?

Should cardiac arrest patients in asystole be shocked? Is there any advantage to this?

What do we know about asystole in cardiac arrest?

Patients in...

Mar 03, 2026  READ MORE
atrial fibrillation cardiology flecainide mtm Beware 1:1 conduction with 'Pill in the Pocket' Flecainide for A Fib

 

In patients presenting with Atrial Fibrillation, when we have a previous cardiac ECHO, with no known structural disease, we can offer a 'Pill i...

Mar 03, 2026  READ MORE
cardiology hyperkalaemia mtm Hyperkalaemia and the ECG

 

A 65 yo patient with a history of hypertension and mild renal impairment, presents to your rural emergency department with some lightheadedness and...

Sep 11, 2025  READ MORE
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Selected Articles


Can the ECG help us differentiate PE from ACS?

Apr 23, 2026

Evidence Based Emergency Tracheal Intubation

Apr 23, 2026

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