Rich Carden and Chris Gray reflect on SMACC Dublin in 2016 from a trainee perspective. Their account connects clinical debate and diagnostic reasoning with fear, wellbeing, gender equity and the personal encounters that made the conference a reflective as well as educational experience.
SMACCDUB – A Trainee’s Perspective. St.Emlyn’s Read More
Simon Carley introduces a 2016 paper he co-authored on impact brain apnoea, drawing on observations from motorsport and prehospital care. The post also honours John Hinds’ contribution to the work and reflects on how clinicians’ shared experiences can prompt research questions.
JC: Impact Brain Apnoea. St.Emlyn’s Read More
How can clinicians support a bleeding trauma patient while definitive haemorrhage control is being arranged? This 2016 discussion explores resuscitation physiology, fluids, vasopressors and treatment endpoints, setting out the authors’ perspective while acknowledging limited evidence and the importance of the wider trauma system.
Can we buy time in bleeding trauma. St.Emlyn’s. Read More
Does hypertonic saline offer better outcomes than mannitol after traumatic brain injury? This 2016 appraisal explores the limited comparative evidence, distinguishes changes in intracranial pressure from outcomes that matter to patients and considers the uncertainty surrounding temporary treatment before definitive care.
JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s. Read More
Why did European and UK trauma guidelines published in 2016 recommend different approaches to resuscitating bleeding patients? Iain Beardsell compares their positions on crystalloids, blood products and vasopressors, reflecting on how disagreements between credible guidelines can challenge apparently settled clinical beliefs.
The European Guideline on Management of Major Bleeding – are you in or out? Read More
A fictional Robocop trauma case provides the framework for this tour of NICE’s 2016 major-trauma guidance. The post follows care from scene to hospital, discusses areas of controversy and highlights unanswered research questions, with links to the full guidance and an accompanying infographic.
Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s Read More
Chris Gray’s report from the prehospital day of the 2015 London Trauma Conference brings together air ambulance practice, transport safety and emerging resuscitation techniques. Topics include prehospital ECMO, sepsis, REBOA and the challenge of translating specialist expertise into reliable systems of care.
London Trauma Conference #LTC2015 – Day Three Read More
Day two of the 2015 London Trauma Conference explored trauma team performance, clinical judgement, paediatric trauma and major incident preparation. Natalie May, Iain Beardsell and Simon Carley share highlights, including reflections on the Paris attacks and the challenges of supporting families in the resuscitation room.
London Trauma Conference #LTC2015 – Day Two Read More
