Should you insert a chest drain before CT in trauma? This TTL tip explores the balance between physiological compromise, procedural delay and the risks of transfer, with an emphasis on making the decision explicit to the team.
TTL Tip 9: Chest Drain Before CT? Think, Decide, Communicate Read More
External bleeding needs reassessment as trauma care progresses, even when treatment has started before hospital arrival. This TTL tip reviews pressure, tourniquets and haemostatic dressings, with practical points on technique and repeated assessment in the ED.
TTL tips 8: External Haemorrhage control Read More
A case series from southern Gaza describes pericardiocentesis, drainage and intrapericardial tranexamic acid in 25 patients with penetrating cardiac tamponade. We examine the findings and their relevance to settings where emergency thoracotomy is unavailable, recognising the limits of this small study.
Physician-based HEMS provision in the UK has expanded significantly since 2009, but variation remains. This St Emlyn’s review examines access, funding models and whether a largely charity-led system can deliver national equity.
Access to physician-based HEMS in the UK: progress, patchwork or postcode lottery? Read More
Practical tips for coordinating a log roll in trauma care, from gentle spinal handling and preparing to examine the back to using clear commands for movement. The post also covers working with a scoop stretcher.
TTL tips 7: Log rolls. Read More
A recorded talk on making feedback useful in clinical settings, with examples of how to deliver it and approaches to avoid. Running just over 28 minutes, it draws on years of St Emlyn’s teaching and links to earlier work on feedback and conflict resolution.
Everything You Need to Know About Making Feedback More Than Just Noise Read More
A rapid trauma CT report and a definitive report serve different purposes. This TTL tip explores how to work with radiology colleagues, check for report updates and communicate additional findings as the patient’s care progresses.
TTL tips 6: CT reports Read More
Intensive care papers prepared for The Big Sick 2026, covering sepsis immunotherapy, platelets, spinal cord injury, perfusion targets and prognostication after cardiac arrest. These reviews share material that did not fit into the conference session.
TBS 2026: Best Intensive Care Medicine Papers Read More
