Tag: HMP3

Trauma in the UK, who cares? St Emlyn’s

We care about trauma. All of us are practising clinicians in healthcare and all of us see trauma in our clinical jobs. Some of my most memorable cases are the saves that the team has

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

Handover. Process, practice and controversy. #ICSSOA2018. St Emlyn’s

This week I’m speaking at the Intensive Care Society State of the Art meeting in London #ICSSOA2018. My first session is in the roadside to critical care session where we will be discussing a severely

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

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

JC: “To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s

Penetrating trauma is a rising problem on both sides of the Atlantic – just tune into any of the major news channels to see the effect.  Its increasing burden on US prehospital deaths from 2007

JC: The VTE and Major Trauma. St.Emlyn’s

All good EM/CC clinicians know that venous thrombo embolism (VTE) is a potential complication of traumatic injury. The immobilisation and haematological changes associated with signficant injury are reasonably well described. Additionally there are controversies over

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


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