Blood product ratios and survival bias
Haemostatic resuscitation of trauma patients, using high ratios of fresh frozen plasma (FFP) to packed red cells (PRBC), is growing […]
All Updates, ICU, Resus, Trauma
All Updates, ICU, Resus, Trauma
Sodium lactate for raised ICP
Lactate may be an important metabolic substrate for injured brain and sodium lactate may have beneficial effects on cerebral oedema […]
Kids, PHARM, Resus, Trauma
Passenger Compartment Intrusion and Kids
The presence and degree of compartment intrusion (from crash investigation data) was correlated with the likelihood of serious injury in […]
All Updates, PHARM
Paramedics control space
Paramedics practice ‘‘in the street’’ and perform in ‘‘a context rife with chaotic, dangerous, and often uncontrollable elements with which […]
All Updates, PHARM
Pre-hospital arterial lines
Arterial lines in the field? You’ve got to be nuts, or…..French! Yep, the SAMU boys and girls put in 94 […]
All Updates, Resus, Trauma
Whole body CT in trauma
German trauma patients are more likely to survive if they have a whole body CT rather than selective scans. Or […]
All Updates, Resus, Trauma
Rectal exam has lousy test characteristics
A comprehensive review of the literature, the findings of which showed ‘compelling’ consistency: digital rectal examination (DRE) as a screening […]
All Updates, PHARM
Air medical intubation success
In contrast to literature showing high intubation failure rates by ground paramedics, a review over eight years of 369 intubations […]
All Updates, PHARM, Resus, Trauma
Chest needle too short
This CT study of 110 trauma patients showed: ‘the standard 4.4-cm angiocatheter is likely to be unsuccessful in 50% (95% […]
Acute Med, All Updates, ICU, PHARM, Resus
Is defib danger overstated
No rescuer or bystander has ever been seriously harmed by receiving an inadvertent shock while in direct or indirect contact […]