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JC: Delta signs for shock trauma

4 min read

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 (with thanks to Cliff Reid for blogging on it). Anyway, the idea of clinical signs as predictors of outcome is very topical at the moment as those of us in UK trauma centres are being measured and funded against our ability of identifying all patients with an ISS of 15 within 5 minutes of arrival..., it's a bit of a problem and something worthy of a complete blog post later.

JC: Point of care USS for Hypotension in the ED. St.Emlyn’s

6 min read

Many thanks to Peter Sherren for spotting this paper published in Intensive Care medicine this month. Point of care ultrasound is one of my interests and only this week I met a patient whose life was certainly saved by it in the ED a few years ago (cracking diagnosis in the resus room of very unexpected cause of hypotension - patient would have died without diagnosis).

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