Category: Trauma
JC: Why do bleeding trauma patients die? St Emlyn’s
Just a quick JC blog post this week to point you to an editorial written by Karim Brohi and John Holcomb on why, and when, patients die of trauma. The editorial appears in Intensive Care …
JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s
This week we are briefly looking at an interesting paper that suggests that HEMS services have much to offer in the management of traumatic cardiac arrest (TCA). We know that outcomes from TCA are poor, …
Trauma in the UK, who cares? St Emlyn’s
We care about trauma. All of us are practising clinicians in healthcare and all of us see trauma in our clinical jobs. Some of my most memorable cases are the saves that the team has …
What’s the bleeding problem with trauma laparotomies?!
Mortality for hypotensive trauma patients undergoing emergency laparotomy have not changed in 20 years. This blog explores the literature and the future!
#ICSSOA2018 Day 3. St Emlyn’s on tour
The tour continues. Although I admit it took me a bit longer to get out of bed this morning following the social agenda for the conference…. Day 3: Morning Another top 5 papers session covering …
Handover. Process, practice and controversy. #ICSSOA2018. St Emlyn’s
This week I’m speaking at the Intensive Care Society State of the Art meeting in London #ICSSOA2018. My first session is in the roadside to critical care session where we will be discussing a severely …
Everything old is new again – whole blood in the trauma bay – St Emlyn’s
One thing is clear from the military and civilian literature – hemorrhage kills1,2. Overall, 40-50,000 deaths per year in the US are preventable with appropriate hemorrhage control and resuscitation. The demographic of these victims is …
JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s.
Paradoxically hypothermia has been a ‘hot’ topic in emergency medicine and critical care for many years. There is good laboratory, animal and pathophysiological data to suggest that it should be neuro-protective in a broad range …
Torso Trauma tips and the BASICS North West conference 2018. St Emlyn’s
Not every conference has to be huge, multimedia and international, there is a lot to be said for local conferences. This week I attended the BASICS North West regional conference1. Here are some of my …
JC: “To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s
Penetrating trauma is a rising problem on both sides of the Atlantic – just tune into any of the major news channels to see the effect. Its increasing burden on US prehospital deaths from 2007 …