#slo4

[stemlyns]

Practical trauma handover advice for trauma team leaders in emergency medicine. Learn how to structure ATMIST handovers, prepare resus before arrival, improve teamwork with prehospital/HEMS crews, and optimise patient safety in major trauma.

TTL Tip 11: Be the TTL your prehospital teams want to hand over to

[stemlyns]

Do we always need to place a chest tube before CT in a patient with suspected or known haemo or pneumothorax? TTL tips #FOAMed @stemlyns

TTL Tip 9: Chest Drain Before CT? Think, Decide, Communicate

[stemlyns]

Amazing video from the perimortem c-section session at Incrementum in 2025. #FOAMed @stemlyns Learn how to do it here

Perimortem C-section from Incrementum: how to do it

[stemlyns]

TTL tips 4: Code Red

Early haemorrhage control saves lives. Delays increase mortality. Patients with active traumatic bleeding who may require immediate surgery should trigger a Code Red Adult Major Trauma Call (typically via 2222). Early activation mobilises senior clinicians and system resources essential for definitive haemorrhage control. The patients who will benefit the most are those that are still bleeding…

TTL tips 4: Code Red

[stemlyns]

Our review of a small Feasibility study on arterial line placement during ED cardiac arrest shows high success and improved ROSC. Is it time to rethink resuscitation monitoring?

Arterial Line Placement During Cardiac Arrest: The ED experience.

[stemlyns]

CRYOSTAT-2 @ St Emlyns

Prof. Dan Horner @ExRCEMProf critically appraises the CRYOSTAT-2 trial. Does early CRYOPRECIPITATE work in major trauma? #FOAMed @stemlyns @karimbrohi @rossdavenport @CommsC4TS

Big news for the UK this week, with the release of 2 publications in JAMA reflecting novel approaches to the management of the major trauma patient with active haemorrhage. (1,2) I can hear the corks popping in QMUL (and Aberdeen) after 10 years of hard work and rightly so – completion and publication of both projects is a huge testament to the determination and tenacity required from the…

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[stemlyns]

TBI: The Final Frontier...

Dan Horner reviews a tiered approach to the management of traumatic brain injury An evidence based approach relevant to all. ( emphasis on do the basics well) @ExRCEMProf #FOAMed @stemlyns

Summer hols and quiet times for many of us at present, so apologies for lack of posts.  There is always stuff going on in the background however, and several of us in Virchester were pleased to see the recent publication of this BMJ uncertainties piece on severe Traumatic Brain Injury (TBI).1  https://www.bmj.com/content/378/bmj-2020-061960.long We thought it might be helpful to highlight this…

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[stemlyns]

Trauma in pregnancy: Core knowledge and key skills. St Emlyn's

Trauma in pregnancy: Core knowledge and key skills from @emergmedglobal Anthony Joseph &. @stemlyns #FOAMed #trauma #pregnancy

written by Anisa Jafar @EmergeMedGlobal and Anthony Joseph “Trauma standby: approximately 34 weeks pregnant female driver, 50 mph road traffic accident, air-bag deployed no obvious injuries, SpO2 99%, HR 95, BP 120/85, RR 16. ETA 15 minutes” Whether it’s the red phone or a simulation on a trauma course, the word “pregnant” brings most of us emergency folk out in some sort of cold sweat.  And so…

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