A critical tour of trauma research from 2019–20, covering tranexamic acid in head injury, plasma and whole blood, hypocalcaemia and prehospital care. Simon Carley weighs trial findings against the limits of observational evidence, with an additional look at the Zero Point Survey.
Top trauma papers of 2019-2020. St Emlyn’s Read More
A roundup of St Emlyn’s in March 2020, including Roberto Cosentini’s experience in northern Italy and Liz Crowe’s discussion of pandemic fear and anxiety. The episode notes also cover critical care preparation, lung ultrasound, immediate care, vasopressin in haemorrhagic shock and patient flow.
Podcast – March 2020 Monthly Round Up Read More
Iain Beardsell shares his experience of preparing for the Diploma in Immediate Medical Care, with revision resources, practice questions and practical exam tips. This personal 2020 account covers the written and practical components and points readers to the Faculty for official examination requirements.
The Diploma in Immediate Medical Care. Hints and Tips from St Emlyn’s Read More
Could arginine vasopressin reduce blood-product requirements after major traumatic haemorrhage? This appraisal reviews a small single-centre randomised trial, examining reduced transfusion use alongside the lack of a demonstrated mortality benefit and the limits of applying its findings to a broader trauma population.
JC: AVP in Haemorrhagic Shock. St Emlyn’s Read More
Zaf Qasim discusses the practicalities and uncertain evidence for REBOA in this 2019 podcast. The accompanying article considers its place within trauma systems and includes a later update on the UK-REBOA trial, making the distinction between the original discussion and subsequent evidence important.
Podcast – REBOA with Zaf Qasim Read More
A review of the CRASH-3 trial and whether tranexamic acid (TXA) is of benefit in traumatic brain injury patients.
Tranexamic Acid (TXA) in Head Injury: CRASH-3 results Read More
Does a McGrath videolaryngoscope improve first-pass intubation compared with a Macintosh laryngoscope in prehospital care? This 2019 appraisal examines a randomised trial, including its early termination, crossover between devices and the limits of drawing a clear verdict from the results.
JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care. Read More
Should severely injured patients receive an early vena cava filter when anticoagulant thromboprophylaxis is initially unsuitable? Dan Horner examines a 2019 randomised trial, weighing its main outcome, subgroup findings and potential harms before considering what it means for trauma care.
Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s Read More
