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Featured Article: Massive Transfusion & Traumatic Coagulopathy: State of the Art Symposium

Online video presentations from the Massive Transfusion & Traumatic Coagulopathy State of the Art Symposium held at the London Trauma Conference in 2008.

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Recent Images

  • An emergency surgical airway

    Emergency airway following failed oral intubation

    Martha Quiodettis MD, Otilda Valderrama MD, Hospital Santo Tomas, Panama City, Panama

  • Left ventricle injury 4

    Ventricular stab wound - pledget repair

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


  • Left ventricle injury 3

    Ventricular stab wound - suture repair

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


  • Left ventricle injury 2

    Ventricular stab wound - digital control

    Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


  • FAST view of haemothorax, diaphragm & liver

    Haemothorax seen on FAST

    Trauma.org

  • 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



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Article List

Can we deliver pre-thawed and high-dose fresh frozen plasma? - LTC2008

Heidi Doughty

Karim Brohi, London, UK, October 18, 2009

Management of Massive Haemorrhage in Trauma - Hospital experience - LTC2008

Joanthan Wallis

Karim Brohi, London, UK, October 18, 2009

Diagnosis of Acute Traumatic Coagulopathy - LTC2008

Ross Davenport

Karim Brohi, London, UK, October 18, 2009

Trauma Induced Coagulopathy - LTC2008

Karim Brohi

Karim Brohi, London, UK, October 18, 2009

Prediction of Massive Transfusion - LTC2008

Tom König

Karim Brohi, London, UK, October 18, 2009

Massive Transfusion: National Patterns & Practice - LTC2008

Dr Fiona Lecky

Karim Brohi, London, UK, October 18, 2009

Trauma Massive Transfusion: Epidemiology & Outcomes - LTC2008

Prof Mark Midwinter

Karim Brohi, London, UK, October 18, 2009

Massive Transfusion & Traumatic Coagulopathy: State of the Art Symposium

London Trauma Conference 2008

Karim Brohi, London, UK, 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

Karim Brohi, London, UK, 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

Transfusion for Massive Blood Loss

Managing massive transfusion events

, November 24, 2006

Recombinant Factor VIIa (NovoSeven) for Traumatic Coagulopathy

Factor VIIa in trauma: review of the literature and recommendations for use

Karim Brohi, London, UK, 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

Karim Brohi, London, UK, 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

Karim Brohi, London, UK, 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

TertiaryTraumaSurvey.pdfTertiaryTraumaSurvey.doc

Permissive Hypotension: Discussion Archive

Permissive Hypotension for Trauma Resuscitation

, October 01, 2002

Damage Control Surgery

Karim Brohi, London, UK, 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.

Jonathan Farmery, 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.