Trauma Care Conference 2018 – Wednesday

Hi.  I feel like I've just bumped into someone I haven't seen for a while and then realised that it's been a whole year since we last met.  My last post in this blog was a whole year ago, reporting on the wonderful Trauma Care conference 2017.  I only attended one day this year, but …

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Trauma Care Conference UK – March 2017 – Major Trauma in the ED

My second day at Trauma Care this year was mostly spent in the Major Trauma in the ED stream.  I took some notes, which I have expanded on and reported here, on the off-chance that someone might find it useful.  Caution - If I have misrepresented anything, please do let me know and I will …

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Trauma Care Conference UK March 2017 – PHEM/HEMS stream

Last week was the international Trauma Care Conference, based at Yarnfield, Staffordshire, UK.  It ran for several days, with something for everyone in the management of trauma, from the moment of impact to the long difficult process of rehabilitation.  I attended the PHEM/HEMS stream on the Thursday, and the Major Trauma in the ED stream …

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Trauma+ series: 1 – Cocaine

Trauma happens to anyone, at any time of day.  It has no respect for hospital pathways, pre-existing medical specialties, or patient demographics.  Inevitably, the trauma resuscitationist will encounter patients with more than one problem: the mature male with coronary artery disease leading to a "medical" cardiac arrest at the wheel, the patient with severe COPD …

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Traumatic Brain Injury: Hypertonic Saline or Combination fluids?

The use of fluids prehospital has always been, and will likely continue to be a controversial topic.  The simple notion that we should be replacing the fluids which have been lost is sensible and logical, but not necessarily logistical.  The logistics of carrying blood products make it unfeasible for many services, and certainly on a …

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Patient transfer devices – care in and out of hospital

In the early days of our major trauma centre, when the network was in its relative infancy there was a noticeable lack of standardisation.  Patients would be brought to us from distance as close as a few hundred yards, or over a hundred miles on 'spinal boards', with occasional use of scoop stretchers. With time, …

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Major incident management – in brief…

Recent years have seen some real thought put into major incident management in the UK, particularly after such high profile incidents such as the rail crashes at Paddington, Potters bar, and Selby, and large scale terrorist activity like the Glasgow and London bombings.  The July 7 2005 bombing incident highlighted many areas which still needed …

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