Category Archives: Trauma

MANUAL AORTIC COMPRESSION

There´s an interesting case report in Annals of Emergency Medicine. It describes a case where massive bleeding from the lower abdomen and pelvis was successfully stopped by a burly first responder who applied manual aortic compression.

Posted in Emergency Medicine, Trauma | 6 Comments

ATACC!

The British ATACC concept – Anaesthesia Trauma And Critical Care – is as the name implies a course focusing on the anaesthestic (non-surgical) part of trauma and critical care treatment. The course was developed as a more advanced and up-to-date … Continue reading

Posted in Medical teaching, Trauma | 6 Comments

PRIAPISM AFTER SPINAL CORD INJURY

While the rest of the #FOAMed world went away to fight in the great Cricoid Pressure war, I discreetly retired to my library in order to study the male erection.

Posted in Emergency Medicine, Prehospital Medicine, Trauma, Uncategorized | 8 Comments

QUOTE OF THE MONTH

“Damage control resus can help avoid damage control surgery” – Karim Brohi, smaccGOLD.

Posted in Anesthesia, Emergency Medicine, Trauma | 1 Comment

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 | 9 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 | 7 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