Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in …
What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s Read More »
Next month we will mark the fourth anniversary of the Manchester Arena Bombing on the 22nd May. As you will remember Salman Ramadan Abedi detonated an improvised device in the …
Manchester Arena Bombing data now published in EMJ. St Emlyn’s Read More »
Cricothyroidotomy is a procedure that worried many emergency physicians. Partly because it’s a rare procedure, but also because we are likely to embarking on it at a time when things …
JC: Real world cricothyroidotomy experience. St Emlyn’s Read More »
Ed – Tom Shanahan (here in Virchester) recently published a paper on whether a Dutch prediction model is better at identifying major trauma patients than existing methods. The publication provoked …
Can a prediction model improve major trauma triage? St Emlyn’s Read More »
This post is co-published with our friends at REBEL EM. Background: It almost seems that when it comes to the use of the antifibrinolytic agent tranexamic acid (TXA) in trauma, …
Tranexamic Acid (TXA) is a mainstay of trauma management. CRASH 2 (2) demonstrated its effectiveness in bleeding patients and CRASH 3 (1,5) (in my opinion) showed that we should also …
JC: Can we give tranexamic acid (TXA) via the IM route? St Emlyn’s Read More »
Our post on the CRASH-3 trial, an RCT examining the use of TXA in head injury, was arguably our most controversial of 2019 (1). Our view was that the evidence …
I recently sat the Diploma in Immediate Care and thought I would share with you some of the things I learned along the way and some of the resources I …
The Diploma in Immediate Medical Care. Hints and Tips from St Emlyn’s Read More »
