This short video introduction describes a turban-style scalp bandage intended to stay in place over a closed wound. It explains the purpose of the demonstration and its important limitation: the bandage does not apply direct wound pressure and has limited use during active bleeding.
The EUROTHERM trial tested therapeutic hypothermia for raised intracranial pressure after traumatic brain injury and stopped early after evidence of harm. This 2015 appraisal examines neurological outcomes, trial design and why the timing and position of cooling within an escalation strategy matter when interpreting the results.
An August 2015 overview of NICE’s draft major trauma guidance during its stakeholder consultation. The post summarises the proposed approach to airway care, bleeding, imaging, analgesia and communication, and explains how clinicians could comment; it records the consultation rather than the final or current guidance.
Recorded at the London Trauma Conference in 2014, Iain Beardsell and Gareth Davies discuss impact brain apnoea after head injury. They explore the proposed physiology, difficulties in gathering evidence and the potential role of bystanders and early responders in addressing airway and breathing problems.
Why did progesterone’s promise in experimental brain injury fail to translate into benefit in a large clinical trial? This 2014 journal club examines patient selection, randomisation, anticipated treatment effects and stopping for futility, using the study to explore the challenges of translating laboratory findings into patient care.
Iain Beardsell and neurointensive care consultant John Hell discuss diffuse axonal injury in this 2014 podcast. Using a hypothetical injured cyclist, they explore the underlying mechanisms, why initial imaging may reveal little, the evolution of secondary injury and the difficulty of predicting recovery for an individual patient.
Practical perspectives on trauma care and team leadership.
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