Negative laparotomy
The complication rate after a negative or nontherapeutic laparotomy is reported to be substantial but most of this reported morbidity […]
All Updates, Resus, Trauma
surgical
All Updates, PHARM, Trauma
Pre-hospital amputation
British trauma surgeon and pre-hospital pioneer Professor Keith Porter describes how to do a pre-hospital amputation in this months EMJ. […]
Acute Med, All Updates, Ultrasound
Small bowel obstruction
When assessed against CT as gold standard, ultrasound diagnosis of small bowel obstruction by emergency physicians compared favourably with abdominal […]
All Updates, PHARM, Resus, Trauma
Burr holes by emergency physicians
Emergency physicians at Hennepin County Medical Centre (HCMC) are trained in skull trephination (drilling a burr hole) for patients with […]
All Updates, Ultrasound
Another pneumoperitoneum
This Video from Academic Emergency Medicine shows distinct hyperechoic foci with reverberation artifacts visualised within free fluid, suggesting associated free […]
All Updates, Resus, Ultrasound
Pneumoperitoneum
This video from the Trauma Association of Canada shows sonographic detection of intraperitoneal free air [quicktime]http://www.traumacanada.org/media/pneumoperitoneum_video.mov[/quicktime]
All Updates, ICU, Resus, Trauma
Decompressive craniectomy
Neuro-folks at LAC+USC Medical Centre describe outcomes for patients with traumatic brain injury without space-occupying haemorrhage who underwent decompressive craniectomy […]
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, ICU
Chlorhexidine-alcohol surgical site prep
In contrast to the situation with skin preparation for intravascular catheters, there have been no recommendations for surgical practice. A […]
All Updates, Guidelines, Trauma
Open Fractures of the Lower Limb
Two major British surgical associations, the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and the British Orthopaedic Association […]