Category: Trauma

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

Ambulance Service New South Wales’ Great Sydney Area HEMS – St.Emlyn’s on tour 2013

Following SMACC 2013 in Sydney I was fortunate enough to spend a day with the team at Ambulance Service New South Wales’ Great Sydney Area HEMS based at Bankstown airport. If you have not discovered

Perimortem C-section at St.Emlyn’s

There are a few blog posts that seem to stick in the mind more than others, and certainly ones that I direct colleagues back to on a regular basis. One of these for me (and

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