Resuscitation
Featured Article: Permissive Hypotension (MSc Trauma Sciences)
 | Karim Brohi, Professor of Trauma Sciences at Queen Mary, discusses the experimental and clinical evidence for permissive hypotension as part of the Masters in Trauma Sciences programme. |
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Recent Images
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An emergency surgical airway
Emergency airway following failed oral intubation
Martha Quiodettis MD, Otilda Valderrama MD, Hospital Santo Tomas, Panama City, Panama
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Left ventricle injury 4
Ventricular stab wound - pledget repair
Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand
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Left ventricle injury 3
Ventricular stab wound - suture repair
Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand
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Left ventricle injury 2
Ventricular stab wound - digital control
Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand
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FAST view of haemothorax, diaphragm & liver
Haemothorax seen on FAST
Trauma.org
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Towel clip closure of the chest and abdomen
Towel clip closure for damage control post thoracotomy and laparotomy
Luciano Pereira e Jorge Carlotto Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS – Brasil
Article List
Can we deliver pre-thawed and high-dose fresh frozen plasma? - LTC2008
Heidi Doughty
, October 18, 2009
Management of Massive Haemorrhage in Trauma - Hospital experience - LTC2008
Joanthan Wallis
, October 18, 2009
Trauma Massive Transfusion: Epidemiology & Outcomes - LTC2008
Prof Mark Midwinter
, October 18, 2009
Massive Transfusion & Traumatic Coagulopathy: State of the Art Symposium
London Trauma Conference 2008
, October 17, 2009
Online video presentations from the Massive Transfusion & Traumatic Coagulopathy State of the Art Symposium held at the London Trauma Conference in 2008.
Indications for Bullet Removal
The rare cases where bullet removal is justified
, July 27, 2007
The Trauma-list recently discussed when, if ever, bullet removal was indicated. Here are the conclusions, which an illustrative case.
Hypovolaemic signs on CT?
, November 25, 2006
Airway management of the Trauma Victim
Airway assessment & management techniques for trauma
, November 24, 2006
Recombinant Factor VIIa (NovoSeven) for Traumatic Coagulopathy
Factor VIIa in trauma: review of the literature and recommendations for use
, October 07, 2006
Recombinant Factor VIIa is a novel therapy for the treatment of traumatic coagulopathy. This article reviews the current literature and gives recommendations for use based on current best evidence.
Emergency Department Thoracotomy
Indications and technique of resuscitative thoracotomy
, September 30, 2006
Emergency department thoractomy is performed in the emergency room for patients in traumatic arrest or profoundly shocked. This article discusses the indications for emergency department thoracotomy and describes the operative technique and resuscitative management of these patients.
Focused Assessment with Sonography for Trauma (FAST)
A primer on the FAST exam
, July 02, 2006
A primer on the FAST ultrasound examination.
The Tertiary Trauma Survey
What, Why, When, How & Who: Detecting Missed Injuries in the Multiply-Injured Patient
, August 01, 2005
Permissive Hypotension: Discussion Archive
Permissive Hypotension for Trauma Resuscitation
, October 01, 2002
Damage Control Surgery
, June 01, 2000
Damage control surgery is one of the major advances in surgical technique in the past 20 years. Multiple trauma patients are more likely to die from their intra-operative metabolic failure that from a failure to complete operative repairs. Patients with major exsanguinating injuries will not survive complex procedures. The operating team must undergo a shift in their mindset if the patient is to survive such devastating injuries.
Case Presentations
Atypical use of the FAST1 manubrial intraosseous cannula.
Submitted by Farmery S, FRCA, Dip IMC and Balderston G, SR Para.
, June 15, 2007
We write describing our experience using the First Access for Shock and Trauma (FAST1) intra-osseous (I/O) cannula to perform a rapid sequence induction (RSI) at the roadside. The casualty was the victim of an RTC with difficult IV access and in urgent need of anaesthesia due to airway compromise and severe head injury. The I/O cannula was sited swiftly and without difficulty despite the patient being in the right decubitus position for postural airway drainage. Onset of anaesthesia/muscle relaxation showed no discernable delay compared with the intravenous route. Fluid flow and cannula security were also adequate.
