That we may not have to use sterile gloves for suturing  Magnesium can help to rate control Atrial fibrillation (but interestingly not cardioversion). There is concern that high dose naloxone will lead to rebound agitation; however this did not seem the case in this observational study. The continued utility of TXA is demonstrated in this paper looking specifically at the low acuity injuries and still demonstrates a survival benefit (if given early).        

Controlling fever doesn’t seem to have any effect on serious outcomes or death. Controlling fever could be harmful but of course can be provided for comfort. It is probably safe to skip thrombolysis and go straight to thrombectomy. Beware winter’s morphology as STEMI mimic In kids with buckle fracture unlikely matters much what type of immobilisation is offered. That saying “quiet” in an emergency department does not make it busier (but leads to perception it is!)    

That the biggest decrease in a patient’s angina symptoms come form telling them the lesion they have isn’t going to cause a problem. Explored more; apparently about a third had symptoms completely improved. Clinical prediction tools are much better validated to “rule out” than “rule in” the need for intervention. The “weekend effect” is more likely due to lack of community services than inadequate hospital services. In low-resources environments (in this case South Africa) a (Free) emergency department visit could cost them about a third of their monthly income.