There is one problem all editors of scientific journals encounter—how to get important material published quickly. We have overcome this to some extent by introducing “Online First” (http://heart.bmjjournals.com/onlinefirst.dtl) which has now been running successfully on the journal’s website since March 2005. Although this allows a paper to be citable within two weeks of being accepted by the journal, it does not speed up the review process. The review process is hampered by …