Managing external haemorrhage is easy right?! Then why does haemorrhage remain a major cause of death from trauma worldwide? Ok, some of that is from internal sources, but…. No one should die from compressible external haemorrhage With the right treatment applied in a timely fashion, the vast majority of these bleeds can be stopped. [...]

Open to access this content
So as promised, and following on from our previous shock episode, this time we've covered the topic of shock in Trauma. It's a massive topic and one that we all, yet again, can make a huge difference for our patients' outcomes. There is some crossover as you'd expect from the concepts and assessment that we [...]
Prehospital Care is evolving rapidly and is one of the most exciting and dynamic specialties to be involved with at the moment. As a reflection of it's progress the Faculty of Pre Hospital Care held its first scientific conference this week. We were lucky enough to be invited by Caroline Leech, EM & PHEM Consultant [...]

Open to access this content
Welcome back to April’s papers of the month. We’ve got 3 papers this month that look to challenge our work up strategies for the critically unwell. First up we look at a paper on the Ottawa subarachnoid haemorrhage rule, specifically considering if we can decrease scanning in patients with a suspected SAH and what application [...]
Here are the papers that caught our eye over the last month, many of these will go onto form the topics for our monthly podcasts and topics which you can subscribe to here. Cardiac ECG Predictors of Cardiac Arrhythmias in Older Adults With Syncope. Nishijima DK. Ann Emerg Med. 2017 Immediate Stress Echocardiography for Low-Risk Chest Pain Patients in the Emergency [...]
The Gospel According to NICE- Chest Pain of Recent Onset: Assessment and Diagnosis. Updated Guideline 2016. In November 2016, at a grand gala dinner at NICE HQ, the updated chest pain guidelines were released . The update was accompanied by fireworks, dancing girls and a clamour on social media. Emergency Departments were tearing up their [...]
So it's that time of year when we try and wind down and take stock of what's gone on over the last 12 months and make plans for the next year ahead....the problem being that workload does anything but decrease over the festive period in Emergency Care! So we thought we'd save you the hard yards [...]