Does prehospital fluid resuscitation improve survival after trauma? This 2013 journal club challenges the interpretation of an observational study, examining the difference between its headline, unadjusted mortality figures and adjusted analysis, alongside selection bias and uncertainty from a small sample.
JC: PROMMT Pre-hospital fluids for trauma – do they improve survival? Read More
What can an emergency department learn from a helicopter retrieval team? Following a 2013 visit to Sydney HEMS, Simon Carley reflects on multidisciplinary briefings, rehearsal, active listening at handover and shared leadership across challenging pre-hospital environments.
Ambulance Service New South Wales’ Great Sydney Area HEMS – St.Emlyn’s on tour 2013 Read More
Does this Dutch study show that helicopter emergency medical services fail to improve trauma outcomes? The 2013 journal club challenges that interpretation, examining patient matching, baseline physiological differences and the importance of understanding the trauma system behind the aircraft.
JC: HEMS doesn’t work – at least not for the Dutch Read More
