#FOAMed

Paracetamol poisoning is an uncommon, but not rare, event in children. The treatment of choice is NAC. Should we be giving them the SNAP protocol?

A case-based guide to getting the most from pelvic binders in trauma care. This TTL tip covers preparing equipment, checking placement and tension, and reassessing the pelvis when the binder is removed.

Visible wounds can distract from injuries hidden elsewhere. This TTL tip uses a penetrating trauma case to explore commonly missed areas, examination during the primary survey and reassessment even when the patient has already been checked before hospital arrival.

An introduction to the Trauma Team Leader Tips series, edited by Simon Carley and Greg Yates. Short, practical posts draw on the team’s experience of clinical care, communication and human factors, with downloadable resources for teaching and discussion.

The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found.

Three research reviews explore goal-directed chest compressions, ventilation during cardiac arrest and cerebral oximetry. Greg Yates considers what animal and human studies contribute to physiologically guided resuscitation, and where further evidence is needed.