Trauma Team Leader TipsMajor 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.
Does adding REBOA to advanced life support improve outcomes in non-traumatic out-of-hospital cardiac arrest? This appraisal of REBOARREST examines the neutral trial results, delays to aortic occlusion and incomplete delivery of the intervention, and asks what remains uncertain.
Can prehospital emergency anaesthesia improve survival after major trauma? This review examines a UK study using machine learning and causal modelling, with attention to patient selection, residual confounding and why an observational estimate is not definitive proof of benefit.
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.
Prehospital research selected for The Big Sick 2026, covering post-intubation hypotension, oxygen therapy, ECPR, thoracotomy decisions and vascular access. The reviews examine what these studies can tell us about care in the first hours of resuscitation.
Practical perspectives on trauma care and team leadership.
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