Category: Trauma

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

JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED. If

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JC Cryo + TXA for trauma apparently it also MATTERS. St.Emlyn’s

Thanks to Karim for a heads up on this one. Just a quick post this time, but another paper looking at the use of tranexamic acid in trauma and in this case the potential synergistic

JC: Delta signs for shock trauma. St.Emlyn’s

I recently had a bit of fun at the Telford trauma conference talking about the top 10 papers of 2012 and in passing mentioned the #dogmalysis of ATLS shock categories published in Resuscitation last year

Trauma Care Conference Telford 2013. St.Emlyn’s on tour.

OK folks, a really quick post 5 days…., yes 5 days before I am due to speak in Telford at the 2013 Trauma Care conference. I’ve been given the topic of ‘The top ten trauma

Ambulance Service New South Wales’ Great Sydney Area HEMS – St.Emlyn’s on tour 2013

Following SMACC 2013 in Sydney I was fortunate enough to spend a day with the team at Ambulance Service New South Wales’ Great Sydney Area HEMS based at Bankstown airport. If you have not discovered

Perimortem C-section at St.Emlyn’s

There are a few blog posts that seem to stick in the mind more than others, and certainly ones that I direct colleagues back to on a regular basis. One of these for me (and

JC: Clopidogrel + head injury = CT?

We already know that patients taking warfarin are at very high risk of intracranial haemorrhage (ICH) after head injury, and that delayed bleeds aren’t so uncommon either.  In fact, we’ve even discussed whether such patients


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