Simon Carley selects ten trauma papers for the 2018 Trauma Care UK conference, focusing on questions that might change bedside practice. Topics range from imaging and transport to brain injury, pneumothorax and team performance, with critical discussion of study limitations and the challenges of translating evidence into care.
Top 10 trauma papers 2017-2018 for @traumacareUK conference. St Emlyn’s Read More
Should injured children receive whole-body or selective CT? Natalie May examines a 2018 observational study of paediatric trauma, explaining propensity-score adjustment and what its mortality findings can—and cannot—tell us. The discussion challenges the assumption that adult imaging practice should automatically transfer to children.
Journal Club – Trauma CT in Paediatric Patients Read More
This 2018 introduction explains the question behind CRYOSTAT-2: could early cryoprecipitate improve survival after major traumatic bleeding? It outlines the rationale for fibrinogen replacement, the planned randomised trial, eligibility criteria and patient-centred outcomes. This is a preview of the study, before its results became available.
JC: CRYOSTAT-2 with Ross Davenport Read More
How should teams approach apparently devastating brain injury when early prognosis is uncertain? This 2018 article and podcast explore guidance on initial care, conversations with families and the risk of premature treatment limitation. They also consider the practical tensions around specialist transfer, intensive-care capacity and organ donation.
JC: Devastating Brain Injury. Complex decisions in the resus room. St.Emlyn’s Read More
Natalie May introduces the e-book collecting her reflections from Sydney HEMS, with 104 lessons drawn from the original blog series. This 2017 announcement explains the collection’s additional photographs, foreword and chapter on entering prehospital and retrieval medicine, and links back to the seven source posts.
104 Reflections from Sydney HEMS – the eBook. St.Emlyn’s Read More
How much does delay matter when giving tranexamic acid? This 2017 journal club examines individual patient data from CRASH-2 and WOMAN, exploring the relationship between treatment timing and bleeding deaths, the size of the benefit and the analysis’s limitations.
JC: Does earlier TXA save lives? St.Emlyn’s Read More
A year with Sydney HEMS offers lessons beyond clinical practice. The final instalment explores facing fears, recognising fatigue, responding to frustration and making time for the people who matter, alongside the value of humility and reflection.
101 Reflective Lessons from a Year with Sydney HEMS. Part Seven: Life Lessons Read More
How common is venous thromboembolism after major trauma, and who is most at risk? This 2017 systematic-review appraisal finds widely varying estimates and limited evidence, exploring why differences in populations and testing make simple conclusions difficult.
JC: The VTE and Major Trauma. St.Emlyn’s Read More
