This month brings big decisions and how to make them in our critical appraisal note (https://adc.bmj.com/content/104/11/1114.2) and this flows seamlessly into the questions too... almost like there’s some planning involved. We’re asking if prenatal echo can tell us who will need emergency atrial septostomies to make birth as safe to home as close to home a reality (https://adc.bmj.com/content/104/11/1114.1.abstract), and if apparently asymptomatic babies and children with malrotation really need and operation to untwirl their guts (https://adc.bmj.com/content/104/11/1116).

If these get you excited to write your own story, head on over to the instructions to authors and find out how https://adc.bmj.com/pages/authors/#archimedes