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Featured Article: Trauma Transfusion & Haemostasis Scientific Symposium
This year's London Trauma Conference is being held on 9-11th December at the Royal Geographical Society in London. Building on previous years' successes the programme continues to challendge both speakers and audience with challenging talks on important subjects. This year's programme also includes a special one-day scientific symposium on "Translational Research in Trauma Haemostasis & Transfusion" as well as taught courses on "Core Topics in Trauma Care" and a Simulation Symposium.
Featured Case Study: Venous laceration to lower limb without fasciotomy
Trauma surgeons deal rarely with isolated penetrating venous injuries to the lower limbs due to the proximity of the vein-arterial complex. The limb remains vascularized but intensely swollen and a fasciotomy must be considered. Inserting a 'drip line' into both severed ends permits immediate venous return and improves the venous hypertension to the point where a fasciotomy can be avoided. This 'damage control' act does allow one to come back a day later and to reestablish continuity with any interposition graft available. The contralateral long saphenous is first choice, a synthetic graft second, a ligature and fasciotomy third choice.
