Stab wounds to the neck
An algorithm for the management of patients with stab wounds to the neck has been proposed by authors of a […]
All Updates, Guidelines, Resus, Trauma
penetrating
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Sucking chest wound
The old idea of three-sided taping of an occlusive dressing to treat open / sucking chest wounds has been replaced […]
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, 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, 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, Guidelines, Trauma
Confidentiality: reporting gunshot and knife wounds
The UK General Medical Council provides guidance on the reporting to police of gun and knife wounds. The guidance describes […]
All Updates, PHARM, Trauma
Ballistic penetrating neck injury and the risk of immobilisation
British military physicians reported the outcomes of patients sustaining penetrating neck injury from the Iraq and Afghanistan conflicts. Three quarters […]
All Updates, PHARM, Resus, Trauma
Is cervical spine protection always necessary following penetrating neck injury?
This short cut review in the Best Bets format attempted to answer the question: “is cervical spine protection always necessary […]
All Updates, PHARM, Trauma
Spinal imaging and immobilisation may be unnecessary in many GSW patients
A retrospective review of 4204 patients sustaining gunshot wounds (GSW) to the head, neck or torso examined the incidence of […]
All Updates, PHARM, Trauma
London's getting worse
The physician-led pre-hospital service London HEMS examined its penetrating trauma caseload between 1991 and 2006. Overall, stabbings rose annually by […]