We are seeing more e-scooters on our streets and more patients presenting after coming off them. They are readily available, often ridden without helmets, and quite commonly ridden by children.
E-scooter injuries, children and safeguarding. St Emlyn’s Read More
Communication is SO important in the resus room. Making sure that your message is heard and understood is really important. There are many aspects to great communication but one of
TTL Tip 22: Graded Assertiveness Read More
A practical guide to the “stacking” technique for catastrophic midface bleeding in an intubated patient. Covers airway protection, facial support and nasal balloon tamponade, alongside the team and equipment needed for this temporary rescue measure.
TTL tips 21: Catastrophic Bleeding from the midface Read More
What does pooled patient-level evidence from PARAMEDIC3 and IVIO tell us about which vascular access route to try first? Simon Carley examines survival, neurological outcomes and the practical limits of the findings for out-of-hospital cardiac arrest.
JC: IV or IO first in cardiac arrest? St Emlyn’s Read More
What can teams optimise in shockable cardiac arrest before considering ECPR? This report from The Big Sick explores defibrillation, interruptions to compressions and physiology-guided resuscitation, including the evidence gaps and debate around emerging approaches.
Before ECPR: Optimising Shockable Cardiac Arrest at The Big Sick. Read More
How can the trauma team leader help specialists agree a timely plan for a patient with a significant pelvic fracture? This guide focuses on coordinating resuscitation and bleeding control, resolving competing priorities and planning for deterioration or delay.
TTL tips 20: Significant Pelvic Fracture management Read More
Finding one spinal fracture raises the question of injury elsewhere in the spine. This trauma team leader tip discusses the rationale for whole-spine imaging, the roles of CT and MRI, and circumstances that may call for a different approach.
TTL tips 19: Find one spinal injury – look for another. Read More
Does early ambulatory ECG monitoring help after unexplained syncope? This review of ASPIRED weighs increased arrhythmia detection and treatment changes against the lack of improvement in recurrent syncope, and explores the practical questions for an emergency care pathway.
ASPIRED: Ambulatory ECG Monitoring After Unexplained Syncope Read More
