Emergency Department Management
How can patients receive fracture follow-up near home after treatment elsewhere? This 2022 survey of English NHS trusts examines referral routes, inconsistent advice and the extra appointments patients may face when a clear pathway is missing.
Conference ReportsCritical Care
Trauma research selected for the 2022 EuSEM conference in Berlin. Simon Carley reviews papers on prehospital blood products, chest injuries, tranexamic acid, extrication and resuscitative thoracotomy, weighing their limitations and possible implications for practice.
A 2022 overview of severe traumatic brain injury, centred on preventing secondary injury before and during specialist transfer. Dan Horner discusses tiered management and unresolved questions about osmotherapy, blood-pressure targets and brain tissue oxygen monitoring.
A 2022 review of UK prehospital blood-product and calcium replacement protocols. The article explores variation between services, the limits of survey evidence and unanswered questions about calcium timing and dose, distinguishing associations with poor outcomes from evidence of treatment benefit.
Conference ReportsCommunication Skills
Highlights from the final day of the 2022 RCEM Spring CPD Conference in Bournemouth. Chris Gray covers care of older people, functional neurological disorders, radiology and practical service improvements, including access to telephone interpreting.
The opening day of the 2022 RCEM Spring CPD Conference in Bournemouth, reviewed by Chris Gray. Topics include point-of-care ultrasound, trauma research, neurosurgical transfer, cardiology, dermatology and toxicology, alongside reflections on clinical decision-making.
Practical perspectives on trauma care and team leadership.
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