Tag Archives: haemorrhage

Maxillofacial haemorrhage control

Dr Geoff Healy explains the prehospital management of maxillofacial haemorrhage at HEMS Team Induction Training in Sydney.  

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Clinical Governance Day Summary 22nd October 2014

With a theme of haemorrhage and trauma, it was always going to be a fun-filled day and it certainly didn’t disappoint. Arranged by Laura and Hannah, an excellent turnout of consultants, registrars, paramedics and medical students filled the room and were presented … Continue reading

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Selective Aortic Arch Perfusion

Fascinating talk on the development of this resuscitative technology by Dr Jim Manning who appeared in person at our Clinical Governance Day.   For further information check out EMCrit Podcast Episode 123

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CGD 7th May 2014 – There Will Be Blood!!

Another excellent clinical governance day for the Sydney HEMS team where we got down and dirty with trauma-induced coagulopathy, how to deal with maxillofacial haemorrhage, tools used to plug the gaps, a recollection of epic winching, and a Sim that … Continue reading

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CGD 7th May 2014 – There Will Be Blood!!

This week’s CGD will focus on the exsanguinating patient, covering topics such as tamponade of massive haemorrhage and correction of coagulopathy. Scheduled sessions include: Winched From The Top – An audit of our recent winch rescues Tic Tactics – A review of … Continue reading

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Pelvic splint improved shock

Splinted any pelvises lately? Karim Brohi’s excellent trauma.org article outlines the strengths and weaknesses of the different devices on the market. One such is the T-POD, which has now been described in a small series in which its application to … Continue reading

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rFVIIa did not reduce trauma mortality

An industry sponsored placebo-controlled multicentre randomised controlled trial has shown no mortality reduction from recombinant activated Factor VII (rFVIIa) in patients with trauma. rFVIIa acts physiologically by enhancing clot formation in the presence of tissue factor expressed on injured or … Continue reading

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Tactical Combat Casualty Care

The brave men and women of the military not only risk their lives for us – they also provide a wealth of trauma experience and publish interesting stuff. This month’s Journal of Trauma contains a military trauma supplement. One of … Continue reading

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Military pre-hospital thoracotomy

Military doctors in Afghanistan reviewed their experience of thoracotomy done within 24 hours of admission to their hospital. The ballistic nature of thoracic penetrating trauma (mainly Afghan civilians without body armour) differs from the typical knife-wound related injury seen in … Continue reading

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Battlefield resuscitation

An excellent review of the current British military practice to prevent and treat the acute coagulopathy of trauma shock (ACoTS) describes pathophysiology and treatment options and offers an algorithm for management. Key components of the system (when indicated according to … Continue reading

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