Tag: head injury

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

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

JC: EuroTHERM or EuroBURNED. St.Emlyn’s

October has been a stellar month for publication of critical care trials in high impact journals. SPLIT, HEAT and FELLOW have already been FOAMed all over, but that left me with a still tempting choice

Impact Brain Apnoea with Gareth Davies from London HEMS. St.Emlyn’s

I was recently discussing the management of traumatic cardiac arrest with one of my junior colleagues and was surprised to hear that they had not heard of impact brain apnoea as a cause of respiratory

JC: Progesterone’s pleiotropic failure in head injury. St.Emlyn’s

Pleiotropic might just be my favourite new word, thus overtaking November’s great word ‘Glyptotek’ (Danish for Sculpture museum). I digress. Pleiotropic is a word used to describe the ability of a gene to affect multiple

All Shook Up – Diffuse Axonal Injury with John Hell

Regular readers will be aware that Virchester is primarily based in the heartland of the industrial North of England, but in an audacious merger they joined forces with one the country’s major teaching hospitals in

Free Open Access RESUSCITATION – the GoodSamApp with Mark Wilson

    Mark Wilson. One of the things I love about medicine is the cross-fertilisation of ideas and techniques from one discipline to another. I worry that as more subspecialisation occurs, cross-fertilisation will be lost.

JC: When a subdural needs surgery in the elderly. St. Emlyn’s

The diagnosis and management of major trauma in the elderly is a really hot topic in Emergency Medicine right now.  Compared to younger patients, the elderly can sustain much more serious injuries even with apparently trivial

JC: Anterior pituitary disorder following head injury. St.Emlyn’s

For reasons which I can’t discuss here I’m quite interested in the incidence of pituitary axis dysfunction following head injury, and indeed in the outcomes following all severities of head injury that we see  in

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