TY - JOUR T1 - Journal Update JF - Emergency Medicine Journal JO - Emerg Med J SP - 734 LP - 736 DO - 10.1136/emermed-2021-211890 VL - 38 IS - 9 AU - Gabrielle Prager AU - Govind Oliver AU - Daniel Darbyshire AU - Anisa Jabeen Nasir Jafar AU - Richard Body AU - Simon David Carley AU - Charles Reynard Y1 - 2021/09/01 UR - http://emj.bmj.com/content/38/9/734.abstract N2 - The Emergency Medicine Journal has been publishing regular summaries of key publications regarding COVID-19 relevant to Emergency Medicine. While the disease remains with us and still dominates the news, we have broadened this journal update to include original research relevant to topics other than the COVID-19 pandemic that has appeared in both emergency and specialty journals. We will continue to use a multimodal search strategy, drawing on both free open access medical education (FOAMEd) resources and formal literature searches that we have used previously.1 For this update, we identified 1969 papers published between 1 May and 31 May 2021. These were narrowed down to the five most interesting and relevant papers (decided by consensus within our group), providing a snapshot of those that we felt most deserved the attention of the EMJ readership. We have highlighted the main findings, key limitations and clinical bottom line for each paper.The papers are ranked in one of the three categories, allowing you to focus on the papers that are most vital to your practice:Worth a peek—interesting, but not yet ready for prime timeHead turner—new concepts.Game changer—this paper could/should change practiceThis month’s update was undertaken by the core editorial team based out of the EMERGING research group from Manchester. Rating: Worth a peek Topic: Chest pain With the growing number of patients presenting to the ED, there has been increasing interest in validating new pathways that incorporate point of care tests (POCTs) that may enable acute myocardial infarction (AMI) to be ruled out in some patients in the prehospital environment. Some early research has suggested that this may be possible, even with a less sensitive POCT for cardiac troponin, when used alongside an established decision aid.2 3 A validated pathway like this could potentially reduce unnecessary transport … ER -