TTL Tip 15: Alternative vascular access
Struggling with vascular access in trauma? Practical tips on IO access, central lines, external jugular access and rapid alternatives for trauma resuscitation.
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Medical education
TTL tips 14: Should I CTA this limb injury?
Arterial injuries can be easy to miss. Learn how trauma team leaders recognise hard and soft signs of vascular injury, identify high-risk injury patterns and expedite limb-saving care.
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Survival effect of prehospital emergency anaesthesia in major trauma
Can prehospital emergency anaesthesia improve survival after major trauma? This review examines a UK study using machine learning and causal modelling, with attention to patient selection, residual confounding and why an observational estimate is not definitive proof of benefit.
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TTL Tip 11: Be the TTL your prehospital teams want to hand over to
Practical trauma handover advice for trauma team leaders in emergency medicine. Learn how to structure ATMIST handovers, prepare resus before arrival, improve teamwork with HEMS crews, and optimise patient safety in major trauma.
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TTL tip 10: Put the trauma patient straight onto the PORTABLE monitor.
Delays in trauma transfer often come from switching monitors. This tip explains the case for portable monitoring from arrival, alongside early checks of oxygen supplies and transfer equipment, to reduce avoidable steps before CT or theatre.
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ICEM/IFEM 2026: Will we see you in Hamburg?
A preview of ICEM 2026 in Hamburg, introducing the programme, St Emlyn’s speakers and the value of exchanging ideas across emergency care systems. Simon Carley reflects on what an international meeting can offer clinicians working in different settings.
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TTL Tip 9: Chest Drain Before CT? Think, Decide, Communicate
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.
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TTL tips 8: External Haemorrhage control
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.
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