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
A St.Emlyn’s review of a major new trauma study examining whether prehospital emergency anaesthesia and intubation improve survival using machine learning and causal inference methods.
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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. Learn how early use of portable monitoring speeds transfer to CT and improves efficiency in emergency care. #TTL tips #trauma @stemlyns
TTL tip 10: Put the trauma patient straight onto the PORTABLE monitor. Read More
ICEM/IFEM 2026: Will we see you in Hamburg?
Join the global emergency medicine community at ICEM 2026 in Hamburg. Explore the programme, St Emlyn’s speakers, and why IFEM still matters.
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TTL Tip 9: Chest Drain Before CT? Think, Decide, Communicate
Should you insert a chest drain before CT in trauma? A practical guide to managing pneumothorax, balancing risk, delay, and decision-making in the resus room. @stemlyns #FOAMed
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TTL tips 8: External Haemorrhage control
Keep blood in the patient. Control haemorrhage early. Most external bleeding will have been addressed prehospital, but not all. Patients may self-present, deteriorate, or require reassessment as resuscitation progresses. Effective
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