Category: Trauma

JC: Duel of the Rules: Which decision rule for head injury in children?

Ladies and Gentlemen! The assessment and investigation of paediatric head injury is a case study in clinical risk management. Similar to chest pain in grown up medicine, it’s a frequent presentation, with a rare but

JC: Updated NICE Head Injury Guidelines – Worth a Scan?

In the last few days Twitter has been buzzing (does twitter buzz? Or does it chirp? Tweet?) with EM practitioners getting to grips with the latest iteration of the NICE Head Injury Clinical Guideline, updated

JC. Should we X-ray before manipulating a displaced ankle fracture? St.Emlyn’s

At St.Emlyn’s we recognise that there are a lot of journals out there. Far too many to keep a track of and far too many for one human to read and collate (thereby providing evidence

JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s

Major Trauma Protocols for transfusion in the emergency department are a good thing aren’t they? I certainly think so, it’s something we have instituted in both paediatric and adult practice. Surely there must be robust

JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

If you’re an emergency physician practicing in the UK you may  be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib

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JC: PROMMT Pre-hospital fluids for trauma – do they improve survival?

If you’ve read St.Emlyn’s before you will know that we adore any papers that challenge dogma and so it is that this week I came across this paper in the Journal of Trauma and Acute

JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED. If

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JC Cryo + TXA for trauma apparently it also MATTERS. St.Emlyn’s

Thanks to Karim for a heads up on this one. Just a quick post this time, but another paper looking at the use of tranexamic acid in trauma and in this case the potential synergistic

JC: Delta signs for shock trauma. St.Emlyn’s

I recently had a bit of fun at the Telford trauma conference talking about the top 10 papers of 2012 and in passing mentioned the #dogmalysis of ATLS shock categories published in Resuscitation last year

Trauma Care Conference Telford 2013. St.Emlyn’s on tour.

OK folks, a really quick post 5 days…., yes 5 days before I am due to speak in Telford at the 2013 Trauma Care conference. I’ve been given the topic of ‘The top ten trauma

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