Should you insert a chest drain before CT in trauma? This TTL tip explores the balance between physiological compromise, procedural delay and the risks of transfer, with an emphasis on making the decision explicit to the team.
TTL Tip 9: Chest Drain Before CT? Think, Decide, Communicate Read More
External bleeding needs reassessment as trauma care progresses, even when treatment has started before hospital arrival. This TTL tip reviews pressure, tourniquets and haemostatic dressings, with practical points on technique and repeated assessment in the ED.
TTL tips 8: External Haemorrhage control Read More
Does targeting the left ventricle during CPR improve outcomes in cardiac arrest? We review the EXECT-CPR trial and explore the shift from algorithm-based to physiologically guided resuscitation.
TOE-Guided CPR in Out-of-Hospital Cardiac Arrest: Physiology Over Algorithm? Read More
Physician-based HEMS provision in the UK has expanded significantly since 2009, but variation remains. This St Emlyn’s review examines access, funding models and whether a largely charity-led system can deliver national equity.
Access to physician-based HEMS in the UK: progress, patchwork or postcode lottery? Read More
This November and December 2025 podcast round-up revisits medical training reform, trauma leadership and patients bringing AI advice into the consultation. It also discusses ondansetron in paediatric gastroenteritis and acetylcysteine protocols for paracetamol poisoning.
Ep 288: Training Reform, Trauma Leadership, AI on the Shop Floor and more Read More
Harriet Tucker discusses damage control prehospital care at Trauma 2030: recognising patients who need surgical haemorrhage control, limiting delays on scene and moving selected interventions into the ambulance. The conversation also covers the governance and teamwork needed to support this approach.
Ep 287 – Damage Control Pre-hospital Care with Harriet Tucker at Trauma 2030 Read More
Practical tips for coordinating a log roll in trauma care, from gentle spinal handling and preparing to examine the back to using clear commands for movement. The post also covers working with a scoop stretcher.
TTL tips 7: Log rolls. Read More
A rapid trauma CT report and a definitive report serve different purposes. This TTL tip explores how to work with radiology colleagues, check for report updates and communicate additional findings as the patient’s care progresses.
TTL tips 6: CT reports Read More
