St Emlyn’s reports from the opening day of the London Trauma Conference 2014, with an accompanying podcast summary. Topics include traumatic arterial dissection, impact brain apnoea, the development of major trauma centres, research involving children and older people, and trauma care in motorsport.
St Emlyn’s at the London Trauma Conference – Day 1 Read More
Can CT measurements identify which older patients with acute subdural haematoma need neurosurgical referral? This 2014 journal club examines a proposed decision tool, questioning selection bias, measurement reliability and how a ‘surgical’ bleed was defined, and explaining why promising retrospective findings still need validation.
JC: When a subdural needs surgery in the elderly. St. Emlyn’s Read More
A 2014 podcast introduction on trauma team leadership and the challenge of moving patients from ED arrival to CT within 30 minutes. The post places that goal alongside UK trauma standards of the time and includes a trauma transfer checklist to support the discussion.
Podcast – Trauma Team Leadership – Getting to CT in 30 minutes. Read More
Does improving an acid–base measurement demonstrate that a resuscitation fluid is better for patients? This 2014 journal club examines a small trial comparing Plasma-Lyte with saline in major trauma, exploring surrogate outcomes, fluid volumes and why the findings could not establish a benefit in patient-centred outcomes.
JC: Plasma-lyte or Saline in Trauma? St. Emlyn’s Read More
Could surgical fixation help patients with flail chest who need ventilatory support? This 2013 journal club examines a small study using historical controls, exploring promising findings alongside selection bias, differences between groups and the need for stronger comparative evidence.
JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s Read More
Do changes in vital signs predict trauma outcomes better than a single set of observations? This 2013 journal club examines retrospective TARN data, considering shock index and changes in blood pressure, respiratory rate and heart rate, alongside study exclusions and the small number of deaths.
JC: Delta signs for shock trauma Read More
