Category: Head injury

JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s.

Paradoxically hypothermia has been a ‘hot’ topic in emergency medicine and critical care for many years. There is good laboratory, animal and pathophysiological data to suggest that it should be neuro-protective in a broad range

DBI devaststing brain injury stemlyns

JC: Devastating Brain Injury. Complex decisions in the resus room. St.Emlyn’s

Social media can sometimes give the impression that all is rosy in the world of resuscitation. We hear of the amazing saves, the wonders of ECMO, helicopters and heroic acts with great outcomes, but the

How to manage your boss (the expert patient in the ED). St.Emlyn’s

This is another guest blog from our friend and colleague Andy Volans, Consutlant in Emergency Medicine.   We’ve all been subjected to the challenge of the “Expert Patient”. Our GP colleagues probably get it more

101 Reflective Lessons from a Year with Sydney HEMS. Part Four: More Clinical

This post, detailing my reflections on clinical retrieval medicine, is the fourth in a series recording my reflections on the twelve months I spent working for Sydney HEMS1 in prehospital and retrieval medicine. The first post

The Emergency Department Transfer: Patient, Preparation and People. St.Emlyn’s

Depending on your department the frequency with which you are faced with the need to transfer a critically ill intubated patient may vary but it is something we think all departments face at some point.

JC: UK traumatic cardiac arrest stats. St.Emlyn’s

Hot on the heels of our recent journal club article ‘cut or push’1 on the management of traumatic cardiac arrest 2  comes this paper from our friends and colleagues in the UK. My conflict of

JC: Impact Brain Apnoea. St.Emlyn’s

I’ll keep this post brief. This is not a critical appraisal and it’s not a review. It’s an invite to read a paper I was honoured to help write on the subject of Impact Brain

JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some

London Trauma Conference #LTC2015 – Day One

London Trauma Conference podcast and round up of day 1. Nat and Iain from St.Emlyn’s podcast on the highlights. #LTC2015

The Turban Technique – A Scalp Bandage that Stays!

  Here’s a quick and easy technique for bandaging a scalp – where the bandage stays where you want it to. Sometimes a scalp bandage might be helpful to protect sutures or wound closure (particularly

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