Hypotonic Versus Isotonic Fluids After Surgery for Children
Kids in hospital with injury, infection or other illness, and those undergoing the physiological stress of surgery, produce (appropriately) elevated antidiuretic hormone levels which contribute to the...
View ArticleClik here to view.
Life, limb and sight-saving procedures
The challenge of competence in the face of rarity by Dr Cliff Reid FCEM, and Dr Mike Clancy FCEM This article is to be published in Emergency Medicine Journal (EMJ), and is reproduced here with...
View ArticleClik here to view.
Surgical treatment for acute massive pulmonary embolism
A recent paper reminds us that surgery is an option in the management of massive pulmonary embolism(1), to be considered in the patient for whom thrombolysis has failed or is contraindicated. Good...
View ArticleClik here to view.
Thoracoabdominal trauma outcomes
In what the authors describe as ‘the largest and most rigorous description of blunt thoracoabdominal injury to date’, we learn some interesting things and are reminded of some others: Most solid organ...
View ArticleClik here to view.
A whole bunch of trauma guidelines
The Eastern Association for the Surgery of Trauma has published a number of helpful evidence-based guidelines for trauma management, and many of them are included in this month’s Journal of Trauma and...
View ArticleClik here to view.
Transtracheal airways in kids. Well, pigs’ kids anyway
Ever had to do a surgical airway in a child? Thought not. They’re pretty rare. Bill Heegaard MD from Henepin County Medical Center taught me a few approaches (with the help of an anaesthetised rabbit)...
View ArticleClik here to view.
London Calling – part 3
Notes from Day 4 of the London Trauma Conference The highlight for me was Mr Jonny Morrison speaking on Resuscitative Emergency Balloon Occlusion of the Aorta (REBOA). He is a British military surgeon...
View ArticlePerimortem Caesarean Delivery: Late is Better than Not
“To date, approximately one-third of the women who die during pregnancy remain undelivered at the time of death” Guidelines recommend cardiac arrest in pregnant women beyond 20 weeks gestation should...
View ArticleClik here to view.
What happened to HIFU?
High intensity focused ultrasound (HIFU) was hailed as the ‘surgery of the future’ a few years ago(1). As it’s now the future, where is it? HIFU uses ultrasound to increase the heat within tissues at a...
View ArticleHyperchloraemia and mortality
Here’s something to add to the pile of data cautioning us to think before we acidify patients with saline. A study in Anesthesia and Analgesia using propensity matching provides retrospective evidence...
View Article
