Trauma & Orthopaedics

How accurately can prehospital clinicians recognise life-threatening injuries from clinical examination? This appraisal examines a retrospective trauma study, the limits of its diagnostic accuracy findings and why uncertainty should inform decisions without abandoning examination altogether.

The TOP-ART trial of Artesunate in the treatment of bleeding trauma patients. This RCT shows no benefit and potential harm, but it may be more complex than that. Further work may be needed on immunomodulation in bleeding trauma patients.

A summary of the talks from Day 2 of the PREMIER conference covering a wide range of topics in paediatric trauma.

How did trauma transfusion move from whole blood to crystalloid and component therapy, then back towards whole blood? This 2023 narrative review follows the key studies behind that evolution and considers prehospital transfusion, different injury patterns and the questions still unanswered.

Zaf Qasim reports from day two of the London Trauma Conference 2022. Highlights include traumatic brain injury, haemorrhagic shock, rehabilitation, ethics, thoracotomy and regional anaesthesia, alongside discussions about trauma systems, training and the evidence for REBOA.

Zaf Qasim shares highlights from the first day of the London Trauma Conference 2022. Topics include major incidents, responder wellbeing, trauma handover, prehospital blood, decision-making under pressure and the challenges of gunshot and farm-related injuries.