OK folks, a really quick post 5 days…., yes 5 days before I am due to speak in Telford at the 2013 Trauma Care conference. I’ve been given the topic of ‘The top ten trauma papers of 2012-present and I’m talking in the emergency medicine stream. I’ve got half an hour to get through ten papers which I hope can make a difference to practice. It seems to me that this type of talk is increasingly common at conferences and I think it does have merits, but there are also risks from too much data, presented too quickly and with only a superficial analysis. All suggestions welcome on avoiding these pitfalls!
So, I’ve been out to twitter with requests for papers that meet the following criteria. I’ve also been through all the blogs that I think cover trauma in some way or another……, including the following listed on slide number 3, and I will be extolling the benefits of FOAM when tasked with these talks. Without colleagues and other blog sites this would have been a Herculean task so thanks to those below and many others who have put the work in over the last year.
In some ways this is a rather tricky task, and a bit sad really, there are nowhere near as many papers as I had hoped to find, though perhaps I’ve missed something really important somewhere!
However, there is still time to change the selection! What else should be in the mix for this year? Remember it should ideally be something that makes a difference to practice so please, have a peek and tell me if you agree or disagree, I’d love to hear your suggestions.
- Radiological evaluation of alternative sites for needle decompression of tension pneumothorax (old news, or wrong question?)
- Diagnostic accuracy of ultrasonography in the acute assessment of common thoracic lesions after trauma. (enough to abandon the resus room CXR?)
- Epidemiology of out of hospital pediatric cardiac arrests due to trauma.(why we shouldn’t give up)
- Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia – a randomized controlled trial.(all talks should have a mention of Ketamine #lessonslearnedatSMACC2013)
- Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study (please use TXA)
- A critical reappraisal of the ATLS classification of hypovolaemic shock: Does it really reflect clinical reality? (Ha! evidence of what I’ve said for years – dogmalysis)
- Effect of tranexamic acid on mortality in patients with traumatic bleeding: prespecified analysis of data from randomised controlled trial (no seriously…….you MUST do this).
- Impact of emergency medical helicopter transport directly to a university hospital trauma center on mortality of severe blunt trauma patients until discharge (Helo boys love it – but is it true?)
- Resuscitation with hydroxyethyl starch improves renal function and lactate clearance in penetrating trauma in a randomized controlled study: the FIRST trial (Fluids in Resuscitation of Severe Trauma). (Oooo, after the sepsis trials will this be believed?)
- Preoxygenation and prevention of desaturation during emergency airway management.(do it tomorrow!)