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Last week saw the publication of the results of the Pragmatic Randomised Optimal Platelet and Plasma Ratios (PROPPR) Trial by Holcomb et al. (et al.

No conversation about the evolution of trauma care in the UK is complete without a mention of Karim Brohi, Vascular and Trauma Surgeon, Professor of Trauma Sciences, friend of St Emlyn's and all-round nice chap. His site trauma.org was sharing FOAM for 18 years before it was even called FOAM and he is a fantastic example of how social media can bring expert knowledge to those who need it - tweet him a question on vascular injury or trauma coagulopathy and he'll answer.

This blog post is based on a paper we've just had published in the Emergency Medicine Journal entitled: 'The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new automated assay for heart-type fatty acid binding protein'. You can find the full text at this link.

Earlier this year we published a blog on the GoodSAM app, a device developed by Mark Wilson and colleagues in London that has a real potential to save lives. Since then we have heard him speak at a number of conferences including an inspiring talk at the London Trauma Conference.

Simon recently claimed his new favourite word is pleiotropic, and whilst I don’t want to get into a vocab competition, I offer my own new favourite word: ultracrepidarianism. This is something I am eternally fearful of, but in all likelihood am probably guilty of daily; giving opinions and advice on matters outside of my own knowledge.

Where would we be without warfarin? The good old rat poison has served us brilliantly for decades, allowing us to anticoagulate patients to treat and prevent venous thromboembolism, prevent stroke in AF, and so much more.