Tag: CMP3

JC: The metabolic and biochemical characteristics of packed red cell transfusions.

JC: The metabolic and biochemical characteristics of packed red cell transfusions.

In the UK it’s now standard practice in hypovolaemic/bleeding trauma to use packed red cells as the first line resuscitation fluid. That’s what we keep in the fridge in the emergency department resus room of

Mcgrath vs macintosh laryngoscopes

JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care.

There has been an ongoing debate about the use of video laryngoscopy (VL) in emergency and critical care​1–4​. Proponents speak of the better visibility and ability to teach using video systems whereas those preferring a

Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s

No one likes getting a pulmonary embolism. Or a deep vein thrombosis. And because about 60% of all blood clots are associated with hospitalisation for acute illness​1​, we take the idea of prophylaxis very seriously.

JC: Why do bleeding trauma patients die? St Emlyn’s

Just a quick JC blog post this week to point you to an editorial written by Karim Brohi and John Holcomb on why, and when, patients die of trauma. The editorial appears in Intensive Care

JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s

This week we are briefly looking at an interesting paper that suggests that HEMS services have much to offer in the management of traumatic cardiac arrest (TCA). We know that outcomes from TCA are poor,

What’s the bleeding problem with trauma laparotomies?!

Mortality for hypotensive trauma patients undergoing emergency laparotomy have not changed in 20 years. This blog explores the literature and the future!

Podcast: November 2018 round up St Emlyn’s

November was a busy month for the St Emlyn’s team with a variety of blogs on conferences, EBM, philosophy and education. Here’s the podcast and the links to the blogs mentioned in November. Click on

JC: Conservative management of chest trauma. St Emlyn’s

We have previously blogged on the topic of chest tube/drain management1. In one of our most widely read posts we argued that many pneumothoraces can be managed without a chest drain. When trained as a

stemlyns blood transfusion trauma

Everything old is new again – whole blood in the trauma bay – St Emlyn’s

One thing is clear from the military and civilian literature – hemorrhage kills1,2.  Overall, 40-50,000 deaths per year in the US are preventable with appropriate hemorrhage control and resuscitation.  The demographic of these victims is

torso trauma basics

Torso Trauma tips and the BASICS North West conference 2018. St Emlyn’s

Not every conference has to be huge, multimedia and international, there is a lot to be said for local conferences. This week I attended the BASICS North West regional conference1. Here are some of my

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