A 2014 appraisal of MR CLEAN, an early positive trial of intra-arterial treatment for selected patients with acute ischaemic stroke. Simon Carley examines imaging-based selection, pragmatic treatment choices and functional outcomes, while asking how confidently one trial could support wider adoption at the time.
Natalie May and Iain Beardsell discuss a structured approach to a breathless child in this 2014 induction podcast. The case-based conversation covers recognising respiratory distress, taking a history from parents, common causes including viral wheeze and croup, and deciding when to seek help or admit.
The final day of the London Trauma Conference 2014 turns to prehospital care and air ambulance operations. This report covers training and performance, introducing new procedures, difficult transfers and the human impact of fatal helicopter crashes, alongside brief discussions of emerging trauma therapies and responder technology.
Highlights and a podcast from day two of the London Trauma Conference 2014, spanning trauma in older people, children and pregnant patients. The team also reflects on performance culture, learning from deaths, the future of ATLS and debates about ultrasound, vascular access and social media.
St Emlyn’s reports from the opening day of the London Trauma Conference 2014, with an accompanying podcast summary. Topics include traumatic arterial dissection, impact brain apnoea, the development of major trauma centres, research involving children and older people, and trauma care in motorsport.
How can a discharge conversation help patients understand what is known, what remains uncertain and when to return? Natalie May outlines an approach to safety netting that combines empathy, clear explanations, expected recovery, warning signs and written advice, with attention to carers and communication with primary care.
Practical perspectives on trauma care and team leadership.
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