TY - JOUR T1 - Highlights from the literature JF - Emergency Medicine Journal JO - Emerg Med J SP - 1000 LP - 1000 DO - 10.1136/emermed-2011-200770 VL - 28 IS - 11 AU - Faiza Ahmad AU - Jonathan Wyatt Y1 - 2011/11/01 UR - http://emj.bmj.com/content/28/11/1000.abstract N2 - Every year, hundreds of people are killed as a result of elephant attacks. Human conflict with elephants may result from encroaching of the animals' habitat by human civilisation. A report from West Bengal describes how 14 individuals died having been attacked by ‘wild tuskers’. The deaths resulted from trampling injuries to the head and/or chest, rather than from penetrating tusk injuries. Farm workers and labourers of low socioeconomic group living adjacent to forest areas appear to be most at risk (J Forensic Leg Med 2011;18:154–7).Data from animal studies have provided some evidence to suggest that a few minutes of chest compressions before analysis of cardiac rhythm could be beneficial by enhancing the likelihood of successful defibrillation. However, a study published in the N Engl J Med (2011;365:787–97) of almost 10 000 adults who suffered out of hospital cardiac arrest failed to find evidence to support this strategy.A considerable amount of energy has been devoted over many years to the development of biomarkers which assist with making the diagnosis … ER -