TY - JOUR T1 - Highlights from this issue JF - Emergency Medicine Journal JO - Emerg Med J SP - 385 LP - 385 DO - 10.1136/emermed-2019-208917 VL - 36 IS - 7 AU - Ian K Maconochie Y1 - 2019/07/01 UR - http://emj.bmj.com/content/36/7/385.abstract N2 - Paediatric Emergency medicine continues to evolve as a specialty around the world and with it, an increasing demand on those services, in the emergency departments, paediatric and mixed departments alike. How this increased demand may be managed, including the use of appropriate pathways of care, to ensure that children and young people get the right care that they require is necessary. This systematic review has found that the evidence for which interventions are effective in decreasing the demand on ED services for non-urgent care is inconclusive and needs more research. This work did suggest that the greatest benefit might be in primary care services, which would be integral to reducing such attendances and that the parents should be provided with information about the management of common conditions.Perhaps it is time to experiment with an informed grandparent being posted at the end of community streets to provide guidance! Alternatively, health needs to be thought about in everyday living, about living healthily!Tranexamic acid (TXA) is used to manage blood loss from postpartum bleeding, post-surgery, hereditary angioedema … ER -