Better than FFP in trauma?
Replacement of clotting factors in bleeding trauma patients seems to be of benefit, but are coagulation factor concentrates safer than […]
All Updates, ICU, Resus, Trauma
Trauma
Care of severely injured patient
All Updates, PHARM, Resus, Trauma, Ultrasound
Open book fractures and ultrasound
For me, this is one of those ‘why didn’t I think of that?!’ studies… extending the FAST scan to measure […]
All Updates, Resus, Trauma, Ultrasound
E-FAST for pneumothorax
Some further evidence of the superiority of ultrasound over chest x-ray for the detection of pneumothorax (although it’s not perfect): […]
All Updates, PHARM, Resus, Trauma
Effect of physician specialty on pre-hospital intubation success
Researchers from the London Helicopter Emergency Medical Service describe the success of pre-hospital laryngoscopy according to the grade and specialty […]
All Updates, ICU, PHARM, Resus, Trauma
How about pre-hospital tranexamic acid?
The CRASH 2 trial showed improved outcomes in trauma from the administration of the antifibrinolytic drug tranexamic acid. A further […]
Acute Med, All Updates, Guidelines, ICU, Kids, Resus, Trauma, Ultrasound
Central lines in coagulopathic patients
If a patient needs a central line, he/she needs one. Often low platelets or a deranged coagulation profile are cited […]
All Updates, Guidelines, ICU, Kids, Resus, Trauma
UK Radiology guidelines for trauma
The Royal College of Radiologists in the UK has published a guideline document to set standards related to diagnostic and […]
All Updates, Kids, Resus, Trauma, Ultrasound
FAST in kids has low sensitivity
The abstract says it all – don’t use FAST to rule out significant abdominal free fluid in kids with blunt […]
All Updates, ICU, Resus, Trauma
Steroids for trauma
A French study on adult patients intubated for multiple trauma assessed the effect of a one week course of stress-dose […]
All Updates, ICU, PHARM, Resus, Trauma
RSI complications increase with intubation difficulty
A substudy of a large randomised controlled trial comparing etomidate with ketamine for RSI in the pre-hospital environment, emergency department, […]