Tag: HMP3

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

“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

Top 10+1 trauma papers 2016-17. St.Emlyn’s

This week I am off to one of the most enjoyable conferences I can get to in the UK. The Trauma Care conference is usually held around the Midlands and brings together everyone involved in

JC: UK traumatic cardiac arrest stats. St.Emlyn’s

Hot on the heels of our recent journal club article ‘cut or push’1 on the management of traumatic cardiac arrest 2  comes this paper from our friends and colleagues in the UK. My conflict of

Chest drains & aspiration: Do it better with St.Emlyn’s

    This is just a quickie to support some local teaching in Virchester on ‘chest drain’ insertion, or ‘intercostal drains’ if you prefer additional consonants or ‘chest tubes’ if you are from the land

JC: Push or Cut? Traumatic Cardiac Arrest

The management of traumatic cardiac arrest has been a popular topic over the past few years and featured in numerous social media and conferences. We’ve talked about here at St.Emlyn’s too1. Various algorithms exist and

JC: Do we always need a whole body CT in trauma? St.Emlyn’s

The whole body CT has become a commonplace strategy for trauma in the UK. When a trauma patient is in your emergency room, it’s a quick and accurate detection method for most injuries. The primary

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