TTL tips 3: Giving Blood products? Think Calcium!
TTL tip number 3 reminds us to manage Calcium levels in all trauma patients, and especailly those receiving blood products.
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Introducing the Trauma Team Leader Tips (TTL Tips) Series
Edited by Prof. Simon Carley & Dr. Greg Yates Leading a trauma team is one of the most challenging and rewarding roles in emergency medicine. It’s a blend of clinical
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What does the Medical Training Review mean for Emergency Medicine training in the UK?
The 2025 Medical Training Review (MTR) is the most significant rethink of UK postgraduate medical education in decades. It calls for more flexible, inclusive, team-based training that recognises learning across all grades, not just numbered trainees. For emergency medicine, this may mean redesigning pathways to include SAS and LED doctors, refreshing the RCEM curriculum, and re-establishing supportive team structures. EM must lead the way in creating sustainable, flexible, and patient-centred training for the next generation.
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Factors in the Initial Resuscitation of Patients With Severe Trauma – The FiiRST-2 Trial
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical appraisal.
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SUPraclavicular Block for Emergency Reduction of Upper Limb Injuries Versus Bier Block (SUPERB Trial)
The SUPERB trial compared ultrasound-guided supraclavicular block with Bier block for distal forearm fracture reduction in the ED. Both provided excellent pain relief, with supraclavicular block noninferior and offering longer analgesia. Safe, feasible, and well-tolerated, this trial supports expanding regional anaesthesia options for emergency physicians managing upper limb injuries.
Stay or go? Should we Move Patients with Refractory Out-of-Hospital Cardiac Arrest to Hospital? The EVIDENCE Trial
The EVIDENCE trial asked if rapid transport with ongoing CPR improves survival in refractory out-of-hospital cardiac arrest. Results: no clear benefit over on-scene resuscitation.
JC: Ketamine or Midazolam as first choice for Paediatric Status Epilepticus? St Emlyn’s
Background Paediatric generalised convulsive status epilepticus (GCSE) are some thing we see a fair amount of in Virchester. Many are a result of febrile seizures, but as we are a
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JC: Intra-arrest Stellate Ganglion Block
A review of intra-arrest stellate ganglion block for refractory cardiac arrest. Could this novel technique improve ROSC rates? Critical appraisal of scoping review. @stemlyns #FOAMed
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