Trauma & Orthopaedics

A fictional Robocop trauma case provides the framework for this tour of NICE’s 2016 major-trauma guidance. The post follows care from scene to hospital, discusses areas of controversy and highlights unanswered research questions, with links to the full guidance and an accompanying infographic.

This 2016 teaching update explores fascia iliaca blocks for hip-fracture pain, combining anatomy, landmark and ultrasound approaches with discussion of local-anaesthetic safety and the supporting evidence. Videos and an infographic accompany the authors’ reflections on introducing regional analgesia into emergency department practice.

Chris Gray’s report from the prehospital day of the 2015 London Trauma Conference brings together air ambulance practice, transport safety and emerging resuscitation techniques. Topics include prehospital ECMO, sepsis, REBOA and the challenge of translating specialist expertise into reliable systems of care.

Day two of the 2015 London Trauma Conference explored trauma team performance, clinical judgement, paediatric trauma and major incident preparation. Natalie May, Iain Beardsell and Simon Carley share highlights, including reflections on the Paris attacks and the challenges of supporting families in the resuscitation room.

Natalie May and Iain Beardsell review the opening day of the 2015 London Trauma Conference in this report and podcast. Highlights include older trauma patients, human factors, brain and spinal injury, mass-casualty care and why effective systems matter more than any single intervention.

Dr Youri Yordanov describes the emergency department response to the Paris attacks of 13 November 2015. This podcast introduction and accompanying resources focus on organising teams and caring for critically injured casualties arriving without warning at an already busy Saint Antoine hospital.