Major Trauma

Physician-based HEMS provision in the UK has expanded significantly since 2009, but variation remains. This St Emlyn’s review examines access, funding models and whether a largely charity-led system can deliver national equity.

Does prehospital whole blood improve outcomes compared with blood components in traumatic haemorrhage? We critically appraise the SWiFT randomised trial, including its findings on death or massive transfusion within 24 hours and the limits of testing a prehospital-only intervention.

A rapid trauma CT report and a definitive report serve different purposes. This TTL tip explores how to work with radiology colleagues, check for report updates and communicate additional findings as the patient’s care progresses.

How can trauma teams make a non-urgent handover work well? These practical tips cover preparing the room, giving the prehospital team everyone’s attention and recording key information, while recognising when immediate threats require a different approach.

Advice on planning for trauma in Trauma Units. How does it differ to MTCs? James, Rory and John take us through some tips and ideas.

This case-based TTL tip examines calcium depletion during major trauma resuscitation and blood transfusion. It covers recognising the problem, repeating blood gas checks and considering calcium replacement as resuscitation continues.