If I think back to my practice a few years ago (as I'm getting older) there is no doubt that the number of CT scans I've performed from the ED has increased. In both my adult and paediatric practice the indications for CT have increased, the ease of obtaining a scan has decreased and as a result I've almost certainly delivered many more mSieverts in the last year than say 5 years ago....., but does this matter?
A few years back I picked up a book at the airport by a chap called Malcolm Gladwell, a rather famous writer it turns out and one familiar to many EPs who has produced some excellent work. I like his books as they make me think, it's work that challenges my past assumptions and in some cases raises questions that make me feel quite uncomfortable.
Philosophy of Emergency Medicine
But a miss is a miss isn't it?
(Bonzer as out Antipodean colleagues might say - Ed)
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 effect of cryoprecipitate together with TXA in trauma patients.
Not especially. This is a good pragmatic trial.
Practical perspectives on trauma care and team leadership.
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