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
Manual pressure augmentation reduces transthoracic impedance during defibrillation, but does that translate into better outcomes? We review the AUGMENT-VA randomised trial and revisit our previous BestBET on this intervention.
The RCEM Annual Conference comes to Manchester on 13–15 April 2027. Simon Carley invites colleagues from the UK and around the world to share research, education and ideas, with emergency medicine across borders among the developing programme’s themes.
RCEM Manchester 2027: Come and join us Read More
What does the INTUBE cohort tell us about cardiovascular instability around intubation? This appraisal examines the association with propofol, the limits of observational evidence and what the findings may mean for induction drug choices in emergency and prehospital care.
JC: Peri-intubation cardiovascular collapse in critically ill patients. Read More
Routine sodium bicarbonate has largely disappeared from modern ALS algorithms, but it continues to be used in many cardiac arrests. We review the BIHCA trial and discuss what it means for emergency physicians and prehospital clinicians.
Does Sodium bicarbonate improve outcomes for in-hospital cardiac arrest? Read More
Learn practical stress management techniques for Trauma Team Leaders, including I’M SAFE and BTFS, to improve performance under pressure and lead complex resuscitations safely.
TTL tips 18: Lead Yourself Before You Lead the Team Read More
