Nuances of Neurogenic Shock

Even when the mechanism is highly suggestive for significant spinal injury, the shocked major trauma patient is haemorrhaging until proven otherwise; cue blood products and damage control resuscitation. When there is no evidence of external haemorrhage in the primary survey, the EFAST is negative, and the trauma series CT shows no evidence of bleeding, a […]

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The weekend effect: Part 2 – a traumatic time!

If you haven’t already, listen to Ellen Weber and Chris Moulton talk about the background to the weekend effect. Click HERE. The UK Junior Doctors’ contract changes imposed by the government in order to shape their poorly defined ‘Seven Day NHS’ caused much debate and consternation surrounding the ‘weekend effect’, which seemed to be the […]

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How Junior Doctors Think: A Guide for Reflective Practice

In the UK, junior doctors will rotate through emergency medicine in their second year post-graduation (Foundation Year 2). They’re granted autonomy to make independent decisions and ‘own’ patients for the first time. Elsewhere in the hospital, a junior’s role is largely secretarial, and generally within the confines of ‘normal working hours’. In the ED, the hours are brutal, the […]

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Dispatching stress in the EOC #IAM999

In this month’s EMJ, Astrid Coxon and team have published a study looking at the experiences of staff working in local Emergency Operations Centres (EOCs). Broadly, staff who work there are in two groups. There are call takers who answer 999 calls from members of the public, process the information they receive, triage it, and […]

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Primary Survey September 2016: EMJ

This month’s primary survey from the EMJ. Emergency Triage and Treatment Course in primary care health centres in Guatamala Emergency triage Assessment and treatment (ETAT) course was developed by WHO in 1999 as part of its Integrated Management of Childhood Illnesses program for improving outcomes for children. It has been devised as a hospital based […]

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Learning from Major Incidents

In this month’s EMJ, David Lowe, Jonathan Millar and colleagues from Glasgow Royal Infirmary (GRI) and the University of Glasgow share their experience gained from the tragic events that unfolded in their city in 2013 and 2014. The first –  where a police helicopter crashed into the Clutha Vaults pub due to a fuel management […]

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