How can resuscitation improve beyond knowing the next clinical intervention? Simon Carley's conference teaching brings together preparation, team pauses, maintaining control of the patient, peer review and hot debriefs, with practical tools for thinking and learning under pressure.
Could intramuscular tranexamic acid be useful when intravenous delivery is difficult? This 2020 review examines a small pharmacokinetic study in trauma patients who had already received IV TXA, distinguishing encouraging absorption data from evidence of improved outcomes or effectiveness as an initial dose.
A chest pain learning module for medical students preparing for the MLA and clinical placements. Work through differential diagnosis, assessment and investigation, then practise with revision questions and an OSCE scenario covering history, examination, initial management and communication.
This September 2020 CODA Zero update introduces discussions of gender inequality and racism in healthcare. It explains how the postponed conference moved its global community online, using ethics-focused conversations to prompt reflection and action rather than simply describe familiar problems.
Journal ClubEvidence-Based Medicine
A September 2020 appraisal of the ISARIC 4C mortality score for hospitalised patients with COVID-19. It explains model development and internal validation, then examines methodological concerns, access to required tests and the limits of applying a UK inpatient score in other settings.
Does prehospital tranexamic acid improve neurological recovery after moderate or severe head injury? This September 2020 trial appraisal examines the absence of a clear primary-outcome benefit, missing follow-up data, injury severity and how the findings compare with CRASH-3.
Practical perspectives on trauma care and team leadership.
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