TBI: The Final Frontier…
Summer hols and quiet times for many of us at present, so apologies for lack of posts. There is always stuff going on in the background however, and several of …
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More on Calcium and blood products in trauma. St Emlyn’s
This week we have a nice paper that highlights some of the ongoing thoughts and controversies about the use of calcium in major haemorrhage protocols. Hopefully you’ve already read Iain’s …
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Differential prescribing of TXA by gender. St Emlyn’s
Tranexamic acid in trauma is a well-established standard of care in most mature trauma systems. The two major trials of TXA, CRASH 2 and 3 suggest a small but important …
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What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s
Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in …
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JC: Can we use smaller pigtail drains in traumatic haemothorax?
Back in 2016 we published a blog on chest drains and chest aspiration, in which we argued that the dogma of putting in huge drains for traumatic haemothoraces should be …
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Learning from airway management in the ED: UK Perspective
This is the transcript for an invited talk at the recent Difficult Airway Society (DAS) 2021 virtual conference. It was lovely to be invited and great of the organisers to …
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Bayes and Belief: How pre-review belief influences critical appraisal. St Emlyn’s
I’ve been reflecting on why there is disagreement about how influential new evidence is to clinical practice in the last year or so. COVID-19 has shown that the thresholds for …
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JC: Real world cricothyroidotomy experience. St Emlyn’s
Cricothyroidotomy is a procedure that worried many emergency physicians. Partly because it’s a rare procedure, but also because we are likely to embarking on it at a time when things …
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Can a prediction model improve major trauma triage? St Emlyn’s
Ed – Tom Shanahan (here in Virchester) recently published a paper on whether a Dutch prediction model is better at identifying major trauma patients than existing methods. The publication provoked …
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JC: The NoPAC trial. TXA does not work for epistaxis. St Emlyn’s
Over the years we have had more than a passing interest in tranexamic acid. In part because we have been involved in some of the research, recruiting to trials, or …
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