No conversation about the evolution of trauma care in the UK is complete without a mention of Karim Brohi, Vascular and Trauma Surgeon, Professor of Trauma Sciences, friend of St Emlyn's and all-round nice chap. His site trauma.org was sharing FOAM for 18 years before it was even called FOAM and he is a fantastic example of how social media can bring expert knowledge to those who need it - tweet him a question on vascular injury or trauma coagulopathy and he'll answer.
Simon recently claimed his new favourite word is pleiotropic, and whilst I don’t want to get into a vocab competition, I offer my own new favourite word: ultracrepidarianism. This is something I am eternally fearful of, but in all likelihood am probably guilty of daily; giving opinions and advice on matters outside of my own knowledge.
Where would we be without warfarin? The good old rat poison has served us brilliantly for decades, allowing us to anticoagulate patients to treat and prevent venous thromboembolism, prevent stroke in AF, and so much more.
The number of patients seen in each ED with problems relating to early pregnancy in the UK is very variable - some hospitals have rapid referral pathways for patients who know they are pregnant. It's still worth thinking about early pregnancy problems though as all EDs see young women and many of these may not yet know that they are pregnant.
A podcast recorded at the London Trauma (2014) abotu Impact Brain Apnoea, with Dr Gareth Davies.
We frequently get asked to do a little bit more in the ED. Over the years, we have been asked to screen for lots of conditions that may be opportunistically screened for or which may be associated with the presenting condition.
