Tag Archive: HMP3

JC: The VTE and Major Trauma. St.Emlyn’s

All good EM/CC clinicians know that venous thrombo embolism (VTE) is a potential complication of traumatic injury. The immobilisation and haematological changes associated with signficant injury are reasonably well described. Additionally there are controversies over the use of drugs such…
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How to manage your boss (the expert patient in the ED). St.Emlyn’s

This is another guest blog from our friend and colleague Andy Volans, Consutlant in Emergency Medicine.   We’ve all been subjected to the challenge of the “Expert Patient”. Our GP colleagues probably get it more as they sit with internet…
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Chest drains & aspiration: Do it better with St.Emlyn’s

    This is just a quickie to support some local teaching in Virchester on ‘chest drain’ insertion, or ‘intercostal drains’ if you prefer additional consonants or ‘chest tubes’ if you are from the land of the Trump. Anyway chest…
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JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some time ago. Our patient had…
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The European Guideline on Management of Major Bleeding – are you in or out?

After my recent, hugely enjoyable, trip to Austria and attendance at the “notfallmedizin 2016” where, as well as doing a talk about FOAMed, I chaired a session on “Volume and Coagulation” I became aware that the view of our colleagues…
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Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s

Today, to much excitement, we saw the release of the NICE major trauma guidance.  Nat did an excellent review of the draft guidance, which you can read here.  We now have the full guideline which you can download from this…
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