Category: Trauma

TTL podcast 1. Getting to CT in 30 minutes.

This week we have released a podcast on trauma team leadership that focuses on the management of trauma patients in the ED, and in particular a focus on getting patients from the door to CT

JC: Tranexamic acid – does the evidence stack up?

Here at St.Emlyn’s we are big fans of Tranexamic Acid in trauma. We believe that it makes a difference to overall mortality in patients likely to be bleeding and also that there is some evidence

JC: Plasma-lyte or Saline in Trauma? St. Emlyn’s

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,

JC: Anterior pituitary disorder following head injury. St.Emlyn’s

For reasons which I can’t discuss here I’m quite interested in the incidence of pituitary axis dysfunction following head injury, and indeed in the outcomes following all severities of head injury that we see  in

JC: Duel of the Rules: Which decision rule for head injury in children?

Ladies and Gentlemen! The assessment and investigation of paediatric head injury is a case study in clinical risk management. Similar to chest pain in grown up medicine, it’s a frequent presentation, with a rare but

JC: Updated NICE Head Injury Guidelines – Worth a Scan?

In the last few days Twitter has been buzzing (does twitter buzz? Or does it chirp? Tweet?) with EM practitioners getting to grips with the latest iteration of the NICE Head Injury Clinical Guideline, updated

JC. Should we X-ray before manipulating a displaced ankle fracture? St.Emlyn’s

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

JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s

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. Surely there must be robust

JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

If you’re an emergency physician practicing in the UK you may  be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib

http://www.flickr.com/photos/whatmeworry/

JC: PROMMT Pre-hospital fluids for trauma – do they improve survival?

If you’ve read St.Emlyn’s before you will know that we adore any papers that challenge dogma and so it is that this week I came across this paper in the Journal of Trauma and Acute

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