TY - JOUR T1 - Highlights from this issue JF - Emergency Medicine Journal JO - Emerg Med J SP - 1 LP - 1 DO - 10.1136/emermed-2019-209340 VL - 37 IS - 1 AU - Simon Carley Y1 - 2020/01/01 UR - http://emj.bmj.com/content/37/1/1.abstract N2 - Welcome to the January edition of the EMJ. A new decade starts a time of heavy clinical activity here in the UK, but despite that workload there is still much to learn and love about emergency medicine. This month sees a range of papers to change or challenge your practice.I don’t think there is much controversy about the utility of decision aids to risk stratify patients with chest pain, but which of those available performs best in our populations? Body et al have compared T-MACS, HEART, TIMI and EDACS in just under a thousand patients. Overall T-MACS was best with EDACS a close second. Both were better than TIMI or HEART. I’m happy to declare a conflict of interest here in recommending the T-MACS score as it was developed in Manchester, but now there is evidence from direct comparison in patients to suggest that this is indeed the case.Dan Horner and colleagues have reviewed the evidence for thromboprophylaxis in lower limb immobilisation and demonstrated that the risk is about 2%. The evidence for treatment is good, and ideally combined with a risk assessment score, although the evidence for any specific score or regime is sadly … ER -