Why might a bleeding trauma patient have a slow heart rate? Rich Carden explores the Bezold-Jarisch reflex, its proposed role in bradycardia during haemorrhage and the danger of assuming that an absence of tachycardia means an absence of blood loss.
What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s Read More
What is actually in a bag of packed red blood cells? This appraisal revisits a 2001 laboratory study of stored blood, exploring acid–base and electrolyte changes while distinguishing measurements in the bag from evidence of their effects on patients.
JC: The metabolic and biochemical characteristics of packed red cell transfusions. Read More
Why did mortality remain so high among hypotensive patients needing emergency trauma laparotomy? Rich Carden’s 2018 discussion examines earlier studies, delays to surgery and damage control care, then explains the need for more detailed data and the planned TELA audit.
What’s the bleeding problem with trauma laparotomies?! Read More
Revisit the November 2018 St Emlyn’s podcast roundup and its accompanying reading list. Linked posts explore cognitive load, learning in the social age, a medical elective in South Africa and cardiac arrest care, with further reflections from the FemInEM Ideas Exchange.
Podcast – November 2018 Monthly Round Up Read More
How should clinicians balance bleeding and thrombosis when anticoagulation causes problems? This 2018 RCEM CPD discussion covers haemorrhage, reversal strategies, adverse reactions, treatment failure and monitoring. It emphasises individual risk, practical delivery of care and making complex pathways usable, reflecting the drugs and evidence available at the time.
Complications of anticoagulation and how to manage them. St Emlyn’s Read More
This 2018 introduction explains the question behind CRYOSTAT-2: could early cryoprecipitate improve survival after major traumatic bleeding? It outlines the rationale for fibrinogen replacement, the planned randomised trial, eligibility criteria and patient-centred outcomes. This is a preview of the study, before its results became available.
JC: CRYOSTAT-2 with Ross Davenport Read More
Rick Body and Kerstin de Wit introduce the drugs then known as novel oral anticoagulants in this 2015 podcast. The first part explores how they work, their place alongside older treatments, prescribing considerations and monitoring, capturing the questions surrounding their early adoption in emergency practice.
Get the NOAC Knowhow: Novel Oral Anticoagulants Part 1 Read More
How should a department prepare for the rare child who needs massive transfusion after trauma? This 2014 journal club examines a small retrospective series, discussing coagulopathy, the limitations of sparse evidence and the importance of planning, shared protocols and simulation for infrequent but time-critical events.
JC: Paediatric massive transfusion. St.Emlyn’s Read More
