Tranexamic acid saves lives in trauma
A convincing, practice-changing trial is a rare thing in major trauma, but here comes a biggie: The CRASH-2 trial recruited […]
All Updates, Resus, Trauma
Trauma
Care of severely injured patient
All Updates, PHARM, Resus, Trauma
Traumatic Aortic Injury
Two recent papers expand our knowledge of blunt traumatic aortic injury. UK crash data identified risk factors for low impact […]
All Updates, PHARM, Resus, Trauma
The myth of ketamine and head injury
A literature review addresses the myth that ketamine is contraindicated in head injured patients. They summarise articles from the 1970’s […]
All Updates, Kids, Resus, Trauma
Vital signs of severely injured children
Systolic blood pressures of severely injured children are very often hypertensive compared with APLS ‘norms’. A lower pulse rate is […]
All Updates, Guidelines, Resus, Trauma
European Trauma Bleeding Guidelines updated
Update 2013: since this post was written in 2010, new guidelines have been written entitled: “Management of bleeding and […]
All Updates, Resus, Trauma
Antibiotics for severe burns yes or no?
Should prophylactic antibiotics be given to burns patients? A systematic review of 17 trials concludes they may reduce all-cause mortality […]
All Updates, PHARM, Resus, Trauma
Battlefield resuscitation
An excellent review of the current British military practice to prevent and treat the acute coagulopathy of trauma shock (ACoTS) […]
All Updates, PHARM, Trauma
Sorting ABCD issues pre-hospital
Prospectively collected data on 727 major trauma patients from a Portugese trauma centre registry enabled the comparison of mortality between […]
All Updates, PHARM, Resus, Trauma
Spine immobilisation in penetrating trauma
In a retrospective study of 45,284 penetrating trauma patients, unadjusted mortality was twice as high in the 4.3% of patients […]
All Updates, ICU, Resus, Trauma
NIV in chest trauma
ICU patients with thoracic trauma who had no other indication for intubation than marked hypoxaemia (pO2/FiO2 < 200 mmHg) were […]