All Shook Up – Diffuse Axonal Injury with John Hell

Diffuse Axonal Injury stemlynsRegular readers will be aware that Virchester is primarily based in the heartland of the industrial North of England, but in an audacious merger they joined forces with one the country’s major teaching hospitals in the sunny South.


John Hell is a Neurointensivist at University Hospital Southampton and very kindly gave up an afternoon to record his thoughts and share his considerable wisdom about Diffuse Axonal Injury.

I also managed to get him to discuss some other topics including the choice of induction agents and intravenous fluids in patients with head injury.

This all came about after a very well received talk he gave at our local Major Trauma M&M and the slides that accompanied that talk are here.

The Wessex Neurological Centre has also made all of their guidelines freely available for all and can be found online here –

Cite this article as: Iain Beardsell, "All Shook Up – Diffuse Axonal Injury with John Hell," in St.Emlyn's, September 12, 2014,

Posted by Iain Beardsell

Dr Iain Beardsell. MBChB (Birm), DipIMC (RCS Ed), FRCEM is section lead for podcasts and Lesson Plans. Editorial Board Member St Emlyn’s blog and podcast. He is a Consultant in Emergency Medicine at University Hospital Southampton and a Consultant in Pre Hospital Emergency Medicine. Iain qualified in 1998 and over the past 20 years has trained and practiced medicine in major teaching hospitals both in the UK and overseas. He has been a consultant at University Hospital Southampton for the past thirteen years, including a three year term as the unit’s Clinical Director. UHS is the main Major Trauma Centre for the South Coast region of England as well as the eighth largest hospital in the UK. Iain is also a highly regarded advisor to television medical dramas, including Casualty and Good Karma Hospital. An acclaimed speaker, Iain has spoken at international conferences in Australia, Ireland, Austria and Germany as well as across the UK. You will find him on twitter as @docib

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