Category: Trauma
JC: Early plasma use in traumatic brain injury. St Emlyn’s
There seems to be a lot of really interesting papers on Traumatic Brain Injury (TBI) this year. A welcome relief from COVID 19 perhaps but also a reminder that other pathologies exist and that TBI …
JC: Should we rubber STAAMP prehospital TXA?
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, one argument has just been …
JC: Blood Products in Trauma – What’s the Best (I)TACTIC?
Bleeding trauma patients present a couple of challenges to us in the Emergency Department. Increasingly, our aging population continues to engage in energetic daily pursuits while increasing numbers are prescribed newer direct oral anticoagulant treatments …
JC: Can we give tranexamic acid (TXA) via the IM route? St Emlyn’s
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 be using it in mild/moderate …
JC: TXA in severe head injury. St Emlyn’s
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 was not entirely definitive, but …
Top 10 trauma papers 2019-2020 for Liverpool Trauma Seminars. St Emlyn’s
This week I am presenting (virtually) at the Liverpool Trauma Seminar. This is a new initiative that aims to provide a multispeciality, multidisciplinary trauma conference in the North West of England. It’s run out of …
JC: AVP in Haemorrhagic Shock. St Emlyn’s
Blood product transfusion can be lifesaving for patients who have suffered major trauma, but the associated side-effects and risks, mean that most people would agree that less is more. This paper by Sim et al …
Resuscitology UK course review. St Emlyn's
This week we ran the inaugural Resuscitology UK course here in Virchester (Ed – everyone knows you mean Manchester 😉 ). Resuscitology UK aims to improve the way we think about resuscitation practice through case …
London Pre-Hospital Care Conference #LTC2019
It’s conference week, and although we started it in Birmingham with the Intensive Care Society State of the Art, we’re now in London at the Royal Geographical Society for the London Trauma Conference. This blog …
REBOA with Zaf Qasim. St Emlyn’s
This week we are publishing a podcast with Zaf Qasim on REBOA. Zaf is a St Emlyn’s team member and Virchester alumnus although he now works over in the US having completed his critical care …