Does prehospital emergency anaesthesia shorten the path to intubation for trauma patients? This appraisal compares prehospital and emergency-department RSI in a retrospective study, examining treatment timelines, patient differences and why earlier intervention does not by itself establish better outcomes.
The Sub30 study tested whether a London prehospital team could establish extracorporeal CPR within 30 minutes of cardiac arrest. This appraisal examines the logistical lessons, the small patient group and the distinction between demonstrating feasibility and showing a survival benefit.
What are the longer-term risks after prehospital intraosseous access? This appraisal examines a Danish registry study of complications, including how follow-up, early deaths and the limitations of routinely collected data affect interpretation of the reported low complication rate.
This podcast reflects on four days at the London Trauma Conference 2024, from cardiac arrest and prehospital critical care to trauma in older patients. The discussion also considers clinician wellbeing, training and the human side of caring for injured patients.
Chris Bishop discusses the emerging use of VA ECMO for cardiovascular failure after trauma in this Tactical Trauma 2024 podcast. The interview considers patient selection after haemorrhage control, bleeding risks and the limited experience available to guide this approach.
Claire Park draws on civilian and military experience to discuss care during high-threat incidents at Tactical Trauma 2024. The podcast explores the balance between responder risk and treatment delays, communication between emergency services, casualty evacuation and the gaps in the available evidence.
Practical perspectives on trauma care and team leadership.
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