Major Trauma

How do injury patterns in e-scooter riders compare with those in cyclists? This appraisal examines a retrospective trauma registry study, considering the injuries recorded, differences in the circumstances of incidents and the implications for prevention and assessment.

How accurately can prehospital clinicians recognise life-threatening injuries from clinical examination? This appraisal examines a retrospective trauma study, the limits of its diagnostic accuracy findings and why uncertainty should inform decisions without abandoning examination altogether.

Highlights from the final day of the Intensive Care Society's 2023 State of the Art Congress. Topics include traumatic brain injury, ethics and end-of-life care, alongside a debate on rehabilitation and supporting patients after critical illness.

What does the PATCH trial tell us about tranexamic acid in major trauma? This appraisal examines the distinction between survival and favourable functional recovery at six months, and why the choice of outcome matters when interpreting the trial.

A review of the May 2023 NICE head injury guideline update for adults and children. It discusses CT decisions for patients taking anticoagulants or antiplatelets, tranexamic acid in isolated head injury, hypopituitarism and the implications for emergency department practice.