Does prehospital tranexamic acid improve neurological recovery after moderate or severe head injury? This September 2020 trial appraisal examines the absence of a clear primary-outcome benefit, missing follow-up data, injury severity and how the findings compare with CRASH-3.
Iain Beardsell shares his experience of preparing for the Diploma in Immediate Medical Care, with revision resources, practice questions and practical exam tips. This personal 2020 account covers the written and practical components and points readers to the Faculty for official examination requirements.
A 2019 appraisal of rocuronium versus suxamethonium for prehospital rapid-sequence intubation. The review examines first-pass success, the interpretation of a non-inferiority trial and the limits of detecting rare complications, while considering how airway choices depend on the wider clinical setting and available resources.
Conference ReportsCritical Care
Highlights from the prehospital day of the 2019 London Trauma Conference. The report covers cardiac arrest decisions, access to defibrillation, vascular access, major incident response and obstetric emergencies, alongside practical discussion of communication and cognitive overload in pressured environments.
Pete Hulme reports from Tactical Trauma 2019 in Sweden, bringing together lessons from prehospital teams, police and emergency services. The review explores bystander response, haemorrhage control, triage and team leadership when trauma care takes place in difficult environments.
A review of the CRASH-3 trial and whether tranexamic acid (TXA) is of benefit in traumatic brain injury patients.
Practical perspectives on trauma care and team leadership.
Explore the series →