Category Archives: Trauma

LOG ROLL AND A FINGER UP YOUR BUM – THEN YOU’RE DONE

ATLS mythbusting time – again. ATLS provides a great structure for talking and working trauma, but many of their procedures have been rethought the last couple of years as our understanding of trauma improves. Now it’s time for rethinking the … Continue reading

Posted in Emergency Medicine, Trauma | 6 Comments

PROGRESS IN PREHOSPITAL SPINAL INJURY MANAGEMENT

We all knew or suspected there was something not right with the way we immobilise virtually all prehospital trauma patients for fear of causing spinal injury. Still, for  some dogma to finally change it has to be endorsed by the … Continue reading

Posted in Prehospital Medicine, Trauma, Uncategorized | 5 Comments

KANYE INTUBATE THIS GUY FOR ME PLEASE?

The decision to anaesthetise and intubate is not always an easy one. When learning to anaesthetise and intubate we are often told that a GCS of 8 or less is when the patient scores a tube in trauma. Reality is … Continue reading

Posted in Airway management, Emergency Medicine, Neurology, Prehospital Medicine, Trauma | Leave a comment

RADIATION EXPOSURE FROM PAEDS TRAUMA SCANS

A study from Injury quantifies the exposure to radiation from paediatric trauma scans. The study tells us children are exposed to significant doses of ionising radiation when they become trauma patients.

Posted in Emergency Medicine, Paediatrics, Trauma | Leave a comment

TRANEXAMIC ACID MATTERs

After the military showed benefit of tranexamic acid (TXA) in trauma, it was successfully tested in the large CRASH-2 trial, showing great benefit in civilians as well. Moving back to war zone trauma, MATTERs – Military Application of Tranexamic acid … Continue reading

Posted in Emergency Medicine, Trauma | 3 Comments

THE CURSE OF THE CERVICAL COLLAR

For many years, ATLS has dictated cervical collar as part of the A in ABC, and any patient that enters a trauma bay gets a cervical collar slapped on before anyone cares about airways, breathing and circulation. The last couple … Continue reading

Posted in Emergency Medicine, Prehospital Medicine, Trauma | 33 Comments

THE GCS STILL DOES NOT BELONG IN EMERGENCY MEDICINE

A while ago we wrote about the Glasgow Coma Scale and how it can´t be relied on for trauma patients or in emergency medicine in the acute phase.  We based it on an excellent editorial written by a Dr Stephen … Continue reading

Posted in Emergency Medicine, Prehospital Medicine, Trauma | 2 Comments

LOST & FOUND: TRAUMA UPDATE

. I wanted to have a permanent link to this excellent trauma update and review of recent litterature by David Anderson of Greater Sydney HEMS. If you watch this 30 minute talk and look up the references I’ve listed in … Continue reading

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TRAUMA CARE EVOLVING

Sometimes it feels like we’re not really going forward. Trends swing back and forth, new treatments and techniques get hailed one year, then falls out of favour the next. Are we moving forward at all? An article on hepatic trauma … Continue reading

Posted in Trauma | Leave a comment

RAPTOR SUITE

So, in our latest Code Brown, I wrote on a crashing trauma patient. Scott Weingart made a comment where he also noted that transfer between OR and angio might come to an end with RAPTOR like operating theatres. RAPTOR is … Continue reading

Posted in Anesthesia, Trauma | 2 Comments