This is an open discussion with local expert Dr Simon Binks on how he approaches paediatric fever presentations in practical terms. We cover some of the basic questions around investigation strategies, use of pathways and risk stratification.

A wander through the evidence and possible implications of this new calculator for aiding diagnosis of paediatric appendicitis.

So many permutations of times and values for Troponin. So many different responses to ECG. What exactly IS a STEMI anyhow? The Pathway for Acute Coronary Syndrome Assessment from ACI is finally some consistency. Here are the highlights.

"To do or not to do?" is a common question in ED and never more so when it comes to considering where to go in assessing and managing headache. These are some thoughts, reflections based on the available evidence. Hope it doesn't give you a headache!

Just  when you think you have a grip on the back story....You haven't. Just how does oxygen affect respiratory status in acute exacerbations of COPD?

A quick wander through the limited evidence on approaching this problem in the ED. Why do we do it so differently? What are the risks? What should we tell patients?

We blame so much on the water works and it seems we test almost anyone with a bladder for UTI but what is the truth? Can you feel it in your waters?

A debate that never gets old - which fluid do I give?

Thinking about thinking - Emergency Medicine is all about decision making. More importantly it is about decision making when under time pressure. So how should we consider the way we think?