A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.
This JC from St Emlyn’s looks at a paper from SJTRM and explores the association between first-pass success (FPS) during pre-hospital intubation and 30-day mortality in patients treated by Finnish helicopter emergency medical services (HEMS).
Is First Pass Success an important outcome in PHEA research? Read More
Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care?
Serratus Anterior Plane Blocks for rib fractures in the Emergency Department Read More
Could selective aortic arch perfusion become a future resuscitation technique? This appraisal examines a feasibility study using perfused human cadavers, explaining the procedure and its limitations. It considers the research and practical questions that remain before clinical use.
Selective aortic arch perfusion Read More
Dan Horner examines CRYOSTAT-2, a randomised trial of early empirical high-dose cryoprecipitate in major trauma haemorrhage. The appraisal explores the mortality results, trial limitations and subgroup findings, and considers what the study means for major haemorrhage protocols.
CRYOSTAT-2 @ St Emlyns Read More
How do you prepare a whole team for high-acuity, low-occurrence procedures? The third HALO article explores shared mental rehearsal, simulation, role clarity and debriefing, including how to support colleagues who encounter these procedures without prior preparation.
Training for HALO procedures. Part 3: The Team. Read More
The TOP-ART trial of Artesunate in the treatment of bleeding trauma patients. This RCT shows no benefit and potential harm, but it may be more complex than that. Further work may be needed on immunomodulation in bleeding trauma patients.
TOP-ART study: Artesunate for bleeding trauma patients Read More
Zaf Qasim examines the UK-REBOA trial results presented at the 2023 Critical Care Reviews meeting. This early commentary considers the signal of harm, differences between patient groups, delays to bleeding control and the role of experience and systems of care.
The UK-REBOA trial – Has the balloon popped? Read More
