Atrial Fibrillation is the most common arrhythmia we see. Conversion to sinus rhythm of recent-onset of atrial fibrillation is proven to be safe. Ho...

Here we review the RACE7 ACWAS (Rate Control vs Cardioversion Trial7-Acute Cardioversion versus Wait and See) Trial (1).

What they did

This wa...

Does a normal ECG exclude Hyperkalaemia?
Do we treat patients with a K+ < 6.5 mmol/L?
Do ECG changes in hyperkalaemia predict a adverse outcome?
Should w...

The first thing you might say is, "Why's should I care about subclinical Atrial Fibrillation, I work in Emergency Medicine?" Perhaps, this will guid...

Emergency airway management and specifically intubation can be associated with significant adverse events, related to the airway itself (failed intu...

This papercut comes from an editorial in Resuscitation, where they chose four important multi centre RCTs with large sample sizes, published in 2023...

Mortality in elderly patients with cariogenic shock is high... in some studies, greater than 75%. This review is of an AHA Scientific Statement  Circu...

Vasopressin is often used as a second line agent to Noradrenaline in septic shock. The usual approach to sepsis is commencement of fluids and if a m...

Haber E.N et al. Accuracy of Noninvasive Blood Pressure Monitoring in Critically ill Adults. J Int Care Med. 2024, Jan 12 (Ahead of Print.) PMID: 38...

Cardiac arrest has a poor survival rate. In this study Okubo et al(1) tried to address the question of adrenaline or airway first, in out of hospital ...

The pulse check has been an important part of the assessment of unresponsive patients. It may be the determining factor in making the decision to co...

The CASE 

A 28 yo patient is brought in by ambulance with a depressed conscious state. The ambulance was called by friends who give a history of th...