Trauma & Orthopaedics

We've been having debates about what fluids to use in trauma and sepsis for about as long as - well - about as long as we've had fluids. We've had quite a bit of dogma going round, and a fair amount of recent dogmalysis - for example with Dan Horner heralding the end of potatoes on the ICU at St. Emlyn's.

This paper from Canada sought and then analysed 66 papers looking at pituitary function after head injury. Inclusion criteria for papers included cohort, RCT, observational studies that enrolled more than 5 patients critical care patients that assessed at least one element of pituitary function (axis).

At St.Emlyn's we recognise that there are a lot of journals out there. Far too many to keep a track of and far too many for one human to read and collate (thereby providing evidence of Weingart and Reid possessing super powers as they are the only people who seem to manage).

Major Trauma Protocols for transfusion in the emergency department are a good thing aren’t they? I certainly think so, it's something we have instituted in both paediatric and adult practice.