Major Trauma

A practical guide to the “stacking” technique for catastrophic midface bleeding in an intubated patient. Covers airway protection, facial support and nasal balloon tamponade, alongside the team and equipment needed for this temporary rescue measure.

Learn practical stress management techniques for Trauma Team Leaders, including I'M SAFE and BTFS, to improve performance under pressure and lead complex resuscitations safely.

Learn how trauma team leaders can use the aviation "sterile cockpit" principle to reduce interruptions, improve communication and increase patient safety during high-risk procedures.

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.

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.

A case series from southern Gaza describes pericardiocentesis, drainage and intrapericardial tranexamic acid in 25 patients with penetrating cardiac tamponade. We examine the findings and their relevance to settings where emergency thoracotomy is unavailable, recognising the limits of this small study.