How do you decide when you don't have all the information? Iain Beardsell revisits Tactical Trauma to explore the judgements behind major incident care, triage, eCPR and trauma ECMO.
A case series from southern Gaza describes pericardiocentesis, drainage and intrapericardial tranexamic acid in 25 patients with penetrating cardiac tamponade. We examine the findings and their relevance to settings where emergency thoracotomy is unavailable, recognising the limits of this small study.
Dan Dworkis joins Iain Beardsell and Liz Crowe to discuss how emergency teams can improve under pressure. Recorded at Tactical Trauma 2024, the conversation explores how to define excellence, learn from other high-stakes teams and make small improvements during everyday work.
Sean Brayford-Harris explains the development of the Ten Second Triage tool in this interview from Tactical Trauma 24. The discussion explores its use by police, fire and ambulance responders, and its emphasis on simple assessment and immediate lifesaving actions during mass casualty incidents.
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.
How should leaders respond when a team faces a serious failure? At Tactical Trauma 2024, RCMP commander Kevin Cyr discusses visible leadership, support that continues beyond the immediate aftermath and debriefing for practical learning, with reflections on what healthcare teams can take from his experience.