Can an intraosseous blood sample provide dependable laboratory results in a critically ill patient? This 2019 appraisal examines a systematic review, highlighting the small amount of relevant patient data and why correlation between samples does not necessarily establish agreement.
JC: Can we really use IO blood for analysis? St Emlyn’s Read More
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
Is criticism of ATLS always justified, and what should trauma teams do beyond the course? Alan Grayson explores its role and limitations in this St Emlyn’s Live video and podcast, asking clinicians to examine their own practice as well as the training framework.
Beyond ATLS with Alan Grayson at #stemlynsLIVE. St Emlyn’s Read More
What can an animal study tell us about chest compressions in traumatic cardiac arrest? This 2019 appraisal examines a haemorrhage model in pigs, the role of blood resuscitation and the substantial limits of applying those findings to patients with different causes of arrest.
Should we use chest compressions in traumatic cardiac arrest? Read More
Simon Carley brings together ten trauma papers and resources for the 2019 TraumaUK conference. The selection spans prehospital plasma, airway management, resuscitation, head injury, emergency laparotomy and paediatric splenic injury, ending with the Zero Point Survey and preparation before resuscitation begins.
Top 10 trauma papers 2018-2019 for TraumaUK conference. St Emlyn’s Read More
Why do some bleeding trauma patients die after surviving the initial resuscitation? This 2019 discussion of an editorial by Karim Brohi and John Holcomb examines changing patterns of mortality, possible mechanisms of later deaths and the need to consider the whole trauma system.
JC: Why do bleeding trauma patients die? St Emlyn’s Read More
Can helicopter emergency medical services improve survival after traumatic cardiac arrest? This 2019 appraisal examines a retrospective UK cohort, distinguishing procedures and return of circulation from survival to hospital discharge, and questioning what a small, uncontrolled dataset can tell us about benefit.
JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s Read More
How should we interpret survival improvements after changes to UK trauma services? This appraisal examines TARN data from 2008–2017, considering regional trauma networks alongside changing patient populations, case identification and missing data. It also highlights the challenge of recognising serious injury in older people.
Trauma in the UK, who cares? Read More
