Evidence refutes ATLS shock classification
I have always had a problem with the ATLS classification of hypovolaemic shock, and omit it from teaching as any […]
All Updates, PHARM, Resus, Trauma
ATLS
All Updates, PHARM, Resus, Trauma
Military pre-hospital thoracotomy
Military doctors in Afghanistan reviewed their experience of thoracotomy done within 24 hours of admission to their hospital. The ballistic […]
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, 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, Guidelines, Trauma
Guidelines on penetrating abdominal trauma
The Eastern Association for the Surgery of Trauma has published guidelines on the nonoperative management of penetrating abdominal trauma. RECOMMENDATIONS […]
All Updates, Resus, Trauma
Whole-body CT during trauma resuscitation
German trauma patients are more likely to survive if they have a whole body CT rather than selective scans. Or […]
All Updates, PHARM, Resus, Trauma
Pre-hospital thoracotomy and aortic clamping in blunt trauma
This is one of those ‘wow they really do that!?‘ papers…Patients undergoing thoracotomy and aortic clamping for pre-hospital blunt traumatic […]
All Updates, Resus, Trauma
Plasma:red cell transfusion ratio in trauma
In major trauma patients who require blood transfusion, fresh frozen plasma (FFP) to packed red blood cell (RBC) ratios of […]