Emergency Medicine Blog
Articles, protocols and updates for emergency medical professionals
Stay and play or scoop and run: what the data says about scene time
Each advanced intervention on scene increases time by 41%. A study by London's Air Ambulance on 1,357 patients puts a price in minutes on clinical procedures. And the price changes with geography.
Rapid Sequence Airway: When the Supraglottic Is the Plan, Not the Rescue
Rapid Sequence Airway means sedating, paralysing, and placing a supraglottic device on purpose. What the evidence shows, how the protocols read, and what nobody has studied.
Blood Gas Analysis Before the Hospital
Point-of-care blood gas analysis on every emergency vehicle, performed by nurses in the field. Antoine Belperio describes the COES Arezzo protocol presented at SIMEU 2026.
USAR: The Doctor Under the Rubble
What is a USAR team and what does a doctor do under the rubble? Interview with Federico Moro, from the Porto Sant'Elpidio collapse to INSARAG certification: a discipline that Italy needs to know better.
Secondary Transport: The Right Vehicle Isn't Always the Fastest One
Secondary transport is a phase of care, not a pause. Ambulance, helicopter, or airplane: how to choose the right vehicle without making mistakes.
Corticosteroids in Anaphylaxis: Rethinking the Automatic Approach
Epinephrine yes, but corticosteroids and antihistamines automatically? Recent guidelines say no: why the anaphylaxis cocktail needs to be reconsidered.
Maurer Algorithm: Assessing Health Risk in Public Events
Discover what the Maurer algorithm is, how it works, and how to use it to plan health safety at concerts, sporting events, fairs, and other public gatherings.
DSED: 8 Questions to the Principal Investigator of DOSE VF
Exclusive interview with Dr. Sheldon Cheskes, PI of the DOSE VF trial: 8 questions on double sequential external defibrillation for refractory VF in out-of-hospital cardiac arrest.
The 12-Minute Window: Where Trauma Patients Really Die
A study of 497 trauma deaths in London shows that 77% die before reaching hospital, median 12 minutes. The margin for improvement is entirely in the field.
The More Critical the Patient, the Less You Have to Decide
The brain under pressure doesn't work worse — it works differently. The more severe the situation, the less you have to decide. Here's why.
Territorial Emergency Medicine, Non-Conveyance and AI: My Conversation with JEMS
Mike Brown called me to talk about non-conveyance. We ended up discussing why AI in emergency medicine should be a librarian, not a judge.
AI and the Future of Emergency Call Response: From Human Triage to Augmented Triage
AI is entering emergency dispatch centers: from stroke recognition to miscoded calls, how machine learning is changing the way we respond to emergencies — and why it doesn't require million-dollar solutions.