Professor Jason Smith joins the St Emlyn’s podcast to discuss traumatic cardiac arrest and the research behind closed chest compressions. The conversation considers different causes of arrest, uncertainty in the evidence and the importance of preparing resuscitation teams for these cases.
Podcast – Traumatic Cardiac Arrest (TCA) with Prof Jason Smith RN Read More
Can some traumatic pneumothoraces and haemothoraces be managed without a chest drain? This 2018 appraisal examines a UK observational study, including patients receiving positive-pressure ventilation. It considers selection bias, the limits of a single-centre dataset and the importance of monitoring when conservative management is chosen.
JC: Conservative management of chest trauma. St Emlyn’s Read More
What can UK registry data tell us about traumatic cardiac arrest? This 2016 appraisal examines survival and injury patterns in TARN, while explaining why observational associations cannot establish which interventions work and why different causes may require different approaches.
JC: UK traumatic cardiac arrest stats. St.Emlyn’s Read More
Chest drain insertion involves more than getting a tube into the chest. This 2016 teaching post discusses patient selection, analgesia, ultrasound, drain size and secure fixation, combining published evidence with the author’s practical experience and acknowledging important uncertainties.
Chest drains & aspiration: Do it better with St.Emlyn’s Read More
Does open cardiac massage outperform closed chest compressions in traumatic cardiac arrest? This 2016 appraisal examines a small study using end-tidal carbon dioxide measurements, explaining why limited numbers and differences between patient groups leave the treatment question unresolved.
JC: Push or Cut? Traumatic Cardiac Arrest Read More
A fictional Robocop trauma case provides the framework for this tour of NICE’s 2016 major-trauma guidance. The post follows care from scene to hospital, discusses areas of controversy and highlights unanswered research questions, with links to the full guidance and an accompanying infographic.
Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s Read More
Chris Gray’s report from the prehospital day of the 2015 London Trauma Conference brings together air ambulance practice, transport safety and emerging resuscitation techniques. Topics include prehospital ECMO, sepsis, REBOA and the challenge of translating specialist expertise into reliable systems of care.
London Trauma Conference #LTC2015 – Day Three Read More
Day two of the 2015 London Trauma Conference explored trauma team performance, clinical judgement, paediatric trauma and major incident preparation. Natalie May, Iain Beardsell and Simon Carley share highlights, including reflections on the Paris attacks and the challenges of supporting families in the resuscitation room.
London Trauma Conference #LTC2015 – Day Two Read More
