Podcasts about major trauma

In this piece we discuss blood management in emergency and elective surgery with Matthew Wiles, an anaesthetist from Sheffield, UK, and editor of the journal Anaesthesia, and Catherine Downs, an anaesthetist from Sydney, Australia. The episode delves into haemorrhage associated with trauma and major surgery, and the benefits of point of care testing. We also took the opportunity to discuss authorship of scholarly work and the need to support emerging researchers and site collaborators. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Matthew Wiles, Consultant Anaesthetist and Clinical Lead for Major Trauma, Sheffield Hospitals NHS Foundation Trust, and Honorary Senior Clinical Lecturer, Sheffield University, Sheffield, UK, and Dr Catherine Downs, Consultant Anaesthetist, Prince of Wales Hospital, and Senior Lecturer, Randwick Clinical Campus, University of New South Wales, Sydney, Australia

In this episode, we're diving into the critical topic of major trauma networks in the UK. These networks have revolutionised trauma care, significantly improving patient outcomes since their inception. We'll explore the positives and challenges faced by these networks, with insights into their impact on patient survival rates, and the integration of advanced technologies.   To do this I am joined by Dr Ash Vasireddy, Ash is a Trauma Surgeon at King's College Hospital. He is also works as a HEMS (Air Ambulance) Pre-hospital Care Doctor. As part of the trauma lead at Kings College Ash also ensures the MTCs function effectively from an Orthopaedic perspective and fosters relationships with network partners in facilitating orthopaedic trauma care.  Please find an informative review on Trauma Networks here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7732139/ This podcast is sponsored by PAX. Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid access to deliver the right gear at the right time to the right patient. To see more of their innovative designed product range please click here: ⁠https://www.pax-bags.com/en/⁠

My wife and I are huge fans of the highly successful Traitors TV show. And if you've watched it then in Season 2 of the UK series you'll remember the big-hearted Welshman Andrew Jenkins, playing a Traitor and whose banishment at the last round table set the series up for a memorable finale.But the story of Andrew's journey starts long before he was on TV. Two decades ago, at the age of 21, he was in a horrendous car accident and was thought to be dead at the side of the road. In a coma for 4 weeks he was fighting for his life and doctors told his family he would likely have severe brain damage. He proved his doctors wrong and learned to walk and talk and live again, but the journey over the next 20 some years of physical rehabilitation, mental recovery and rebuilding connection with those around him would come to define him as a person.We met recently and today Andrew is on a mission to inspire others and to try and end the stigma around mental health. We'll be talking about the journey he's been on and the Unlock Moments of remarkable clarity that helped him to figure out the path ahead.--Andrew Jenkins: https://www.linkedin.com/in/andrewjenkinsspeaker/ --The Unlock Moment podcast is brought to you by Dr Gary Crotaz, PhD. Downloaded in over 115 countries. Sign up to The Unlock Moment newsletter at https://tinyurl.com/ywhdaazp Find out more at https://garycrotaz.com and https://theunlockmoment.com

Happy June! This month for the June 2024 episode of the RCEM Learning Podcast, Rob and Liz talk us through a New in EM section on nailbed repair in paediatric finger bed injury. We have the first in a two-parter on Sickle Cell Disease in our Guidelines for EM section and then Rob speaks with Chris Bretheron and Hamez Gacefari about the James Lind Alliance Priority Setting Partnership for Major Trauma. We then end with New Online. If you'd like to email us, please feel free to do so here. (05:32) New in EM - Nailbed repair in paediatric finger injuries Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial (Jain et al., 2024) (21:16) Guidelines for EM - RCEM Sickle Cell Disease RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024) Sickle Cell Society - No One's Listening (55:50) Interview with Chris Bretheron and Hamez Gacefari (James Lind Alliance Priority Setting Partnership for Major Trauma) Research priorities for the management of major trauma: an international priority setting partnership with the James Lind Alliance (Bretherton et al., 2024) James Lind Alliance Priority Setting Partnership for Major Trauma (01:11:01) New Online – new articles on RCEMLearning for your CPD Sudden Visual Loss - Daniel Horner Information Sharing to tackle Community Violence - Adrian Boyle Cardiac arrest in the pregnant patient - Charlotte Davies, Sophie Windsor

Contributor: Ricky Dhaliwal, MD Educational Pearls: What can you do to control bleeding in a penetrating wound? Apply direct pinpoint pressure on the wound as well as proximal to the wound. Build a compression dressing. How do you build a compression dressing? Think about building an upside-down pyramid with the gauze. Consider coagulation agents such as an absorbent gelatin sponge material, microporous polysaccharide hemispheres, oxidized cellulose, fibrin sealants, topical thrombin, or tranexamic acid. What are the indications to use a tourniquet? The Stop The Bleed campaign recommends looking for the following features of “life-threatening” bleeding. Pulsatile bleeding. Blood is pooling on the ground. The overlying clothes are soaked. Bandages are ineffective. Partial or full amputation. And if the patient is in shock. How do you put on a tourniquet? If using a Combat Application Tourniquet (C-A-T) tourniquet, apply it proximal to the wound, then rotate the plastic rod until the bleeding stops. Then secure the plastic rod with a clip and make sure the Velcro is in place. Mark the time - generally, there is a spot on the tourniquet to write. Have a plan for the next steps. Does the patient need emergent surgery? Do they need to be transfered? How long can you leave a tourniquet on? Less than 90 minutes. What are the risks? Nerve injury. Ischemia. References Latina R, Iacorossi L, Fauci AJ, Biffi A, Castellini G, Coclite D, D'Angelo D, Gianola S, Mari V, Napoletano A, Porcu G, Ruggeri M, Iannone P, Chiara O, On Behalf Of Inih-Major Trauma. Effectiveness of Pre-Hospital Tourniquet in Emergency Patients with Major Trauma and Uncontrolled Haemorrhage: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Dec 6;18(23):12861. doi: 10.3390/ijerph182312861. PMID: 34886586; PMCID: PMC8657739. Martinson J, Park H, Butler FK Jr, Hammesfahr R, DuBose JJ, Scalea TM. Tourniquets USA: A Review of the Current Literature for Commercially Available Alternative Tourniquets for Use in the Prehospital Civilian Environment. J Spec Oper Med. 2020 Summer;20(2):116-122. doi: 10.55460/CT9D-TMZE. PMID: 32573747. Resources poster booklet. (n.d.). Stop the Bleed. https://www.stopthebleed.org/resources-poster-booklet/ Summarized by Jeffrey Olson MS2 | Edited by Meg Joyce & Jorge Chalit, OMSII  

Ready to be inspired an incredible leader who defied the odds?    I recently sat down with Amandeep Khasriya, who is not only a colleague and friend - but someone who has been on a remarkable journey to overcome intersectional challenges and achieve remarkable success in her field.    Partner at top 100 law firm Moore Barlow, Amandeep is also an EDI champion, Chair of Women Solicitors Network, Law Advisory Board member, Brummel Magazine's Top 30 London female trailblazers 2022 and more - Amandeep has an impressive roster of roles and accolades that demonstrate her commitment to continuously push herself forward.   During our conversation, Amandeep graciously shared her lived experiences; as a woman, a mother, as someone who comes from a working-class and Indian background. For me, this episode is both inspirational to those who may relate and insightful to those who may not.   Together, we tackled crucial themes like:

Christina Ekegren is a Senior Research Fellow at the Rehabilitation, Ageing, and Independent Living (RAIL) Research Centre at Monash University, Melbourne, Australia. Her research focuses on physical activity for hospitalised patients, older adults, and people recovering from traumatic injury.  In this episode, we discussed Christina's research on strategies for helping people stay physically active in hospital and after major trauma. In this episode: 0:00 About this episode and welcome Christina 1:39 Background and interests 5:42 The many factors that lead to people being sedentary in hospital 6:30 Physical activity as a vital sign in hospital 7:40 Wearables and measurement as an intervention, limitations in hospitals, feasible ways to measure physical activity in hospitals 11:40 Why don't patients move around in hospital. The need for shared decision-making in hospitals related to falls and physical activity 14:30 What is the relationship between physical activity and heath outcomes? 600 steps or 25 minutes a day of slow-paced walking per day 18:20 Key research papers – end PJ paralysis! 28:30 Foundational knowledge and skills – learning how to talk about physical activity 32:20 Is physical activity medicine? 34:30 Physical activity following major trauma 39:20 Final thoughts You can read more about Christina and her research here Christina mentioned the Multi-Process Action Control (M-PAC) Framework, an approach to physical activity behaviour promotion. Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Join the conversation on social media @PerratonPhysio For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this conversation, we will examine how trauma is both managed and reported on throughout Scotland. The Scottish Ambulance Service (SAS) receives over 1.5 million calls a year and responds to over 500,000 emergency incidents per year. In the episode, we will discuss The Scottish Trauma Audit Group (STAG) as a national audit group within the Scottish National Audit Programme of Public Health Scotland. STAG measures and is tasked to improving the quality of care, overall experience, and long-term outcome of patients with significant injuries throughout Scotland. We will also examine the Advanced Practitioner in Critical Care scheme in Scotland and how it has developed, how it is managed and some of the recent adaptations according to need throughout Scotland. We will also look at the need for key interventions when critical care is not available.   To do this I am speaking with Martin Esposito. Martin is a Consultant Paramedic for Major Trauma within SAS. In this role, he is the lead for all the major trauma work within SAS and also line manages the Advanced Practitioners in Critical Care. As well as trauma, is has a special interest in Pain Management and is the SAS lead for pain management as well as an Honorary Tutor at Cardiff University. More information on STAG can be found here: https://www.stag.scot.nhs.uk/ We look forward to seeing you in 2024. Happy New Year! Eoin

Guest Trent Langhofer, clinical director of counseling at Colorado Christian University, relates his own amazing story going from living on the streets as a hard-core drug user to being one of the foremost Christian counselors in the field. Jase reveals how Trent helped Mia through a traumatic time in her life and helped her develop the drive to start her own charity as a teenager. Phil explains how he's able to live a life of peace after so much trauma earlier in his life.  https://tommyjohn.com/phil — Get 25% OFF everything for the holidays with promo code PHIL  https://samaritanministries.org/unashamed — Get a biblical & affordable approach to health care https://philmerch.com — Get your “Unashamed” mugs, shirts, hats & hoodies! Own "The Blind: The True Story of the Robertson Family" on digital, DVD & Blu-ray today: https://theblindmovie.com/watch — Learn more about your ad choices. Visit megaphone.fm/adchoices

In this conversation, we will examine the various types of trauma scores that feature both out-of-hospital and in-hospital to measure trauma – those of anatomical, physiological and combined trauma scores. We will look at why these are important, the three broad types of trauma scores, the origins, reliability and sensitivity of these. We will also examine the pros and cons of the GCS together with the history behind the GCS. We will examine the trauma score, revised trauma score, APACHE and CRAMS scales, Abbreviated Injury Score, Injury severity score, New Injury Severity Score (NISS), TRISS (Trauma and Injury Severity Score), and finally the ASCOT (A Severity characterisation of trauma). We will also examine the limitations to these scores and also some of the more long-term reasons for use.  Mark Faulkner is a Consultant Paramedic and associate medical director with the London Ambulance Service NHS Trust, Mark is also the clinical advisor for Major Trauma within the LAS and as such sits on the Pan London Trauma Steering Group, as well as number of national trauma groups.  Mark has been involved in major trauma for over 12 years, since the inception of the London Trauma System and has developed and refined the London Trauma Triage Tool. In the conversation, we examine: 1.     Why we look at and create these scores. 2.     The three broad types  3.     The GCS – origins, sensitivity/specificity & the limitations   4.     Trauma Score & revised trauma score  5.     APACHE & CRAMS scales  6.     AIS  7.     ISS 8.     NISS & TRISS score  9.     ASCOT  10.  Final thoughts  My thanks to Mark for an insightful and engaging conversation.

Hear the extraordinary journey of a leading Trauma Consultant and how he struggled during his early life against all odds. Mr Ansar Mahmood shares life lessons that are applicable to all of us. Key topics covered in this episode:

Calcium administration to trauma patients has become a hot topic with the rise of the “Lethal Diamond."  While evidence exists regarding the association between hypocalcemia and mortality, it remains unclear whether hypocalcemia is the problem or simply a finding secondary to critical injury.  In this podcast, Dr. Lauria reviews the evidence behind calcium administration in trauma and identifies which patients, given the available evidence, might benefit from calcium administration. Don't miss another FlightBridgeED Podcast feature episode of the MDCast! So much good stuff! Please like, subscribe, and leave any questions or comments. References for the use of Calcium in Severe Trauma Chanthima P, Yuwapattanawong K, Thamjamrassri T, et al. Association Between Ionized Calcium Concentrations During Hemostatic Transfusion and Calcium Treatment With Mortality in Major Trauma. Anesth Analg. Jun 1 2021;132(6):1684-1691. doi:10.1213/ANE.0000000000005431 D B. Prehospital administration of calcium in trauma J Paramed Prac. 2022; DeBot M, Sauaia A, Schaid T, Moore EE. Trauma-induced hypocalcemia. Transfusion. Aug 2022;62 Suppl 1:S274-S280. doi:10.1111/trf.16959 Ditzel RM, Jr., Anderson JL, Eisenhart WJ, et al. A review of transfusion- and trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond? J Trauma Acute Care Surg. Mar 2020;88(3):434-439. doi:10.1097/TA.0000000000002570 Giancarelli A, Birrer KL, Alban RF, Hobbs BP, Liu-DeRyke X. Hypocalcemia in trauma patients receiving massive transfusion. J Surg Res. May 1 2016;202(1):182-7. doi:10.1016/j.jss.2015.12.036 Kronstedt S, Roberts N, Ditzel R, et al. Hypocalcemia as a predictor of mortality and transfusion. A scoping review of hypocalcemia in trauma and hemostatic resuscitation. Transfusion. Aug 2022;62 Suppl 1(Suppl 1):S158-S166. doi:10.1111/trf.16965 Leech C, Clarke E. Pre-hospital blood products and calcium replacement protocols in UK critical care services: A survey of current practice. Resusc Plus. Sep 2022;11:100282. doi:10.1016/j.resplu.2022.100282 Messias Hirano Padrao E, Bustos B, Mahesh A, et al. Calcium use during cardiac arrest: A systematic review. Resusc Plus. Dec 2022;12:100315. doi:10.1016/j.resplu.2022.100315 Moore HB, Tessmer MT, Moore EE, et al. Forgot calcium? Admission ionized-calcium in two civilian randomized controlled trials of prehospital plasma for traumatic hemorrhagic shock. J Trauma Acute Care Surg. May 2020;88(5):588-596. doi:10.1097/TA.0000000000002614 Savioli G, Ceresa IF, Caneva L, Gerosa S, Ricevuti G. Trauma-Induced Coagulopathy: Overview of an Emerging Medical Problem from Pathophysiology to Outcomes. Medicines (Basel). Mar 24 2021;8(4)doi:10.3390/medicines8040016 Steele T, Kolamunnage-Dona R, Downey C, Toh CH, Welters I. Assessment and clinical course of hypocalcemia in critical illness. Crit Care. Jun 4 2013;17(3):R106. doi:10.1186/cc12756 Stueven H, Thompson BM, Aprahamian C, Darin JC. Use of calcium in prehospital cardiac arrest. Ann Emerg Med. Mar 1983;12(3):136-9. doi:10.1016/s0196-0644(83)80551-4 Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. Dec 14 2021;326(22):2268-2276. doi:10.1001/jama.2021.20929 Vallentin MF, Povlsen AL, Granfeldt A, Terkelsen CJ, Andersen LW. Effect of calcium in patients with pulseless electrical activity and electrocardiographic characteristics potentially associated with hyperkalemia and ischemia-sub-study of the Calcium for Out-of-hospital Cardiac Arrest (COCA) trial. Resuscitation. Dec 2022;181:150-157. doi:10.1016/j.resuscitation.2022.11.006 Vasudeva M, Mathew JK, Groombridge C, et al. Hypocalcemia in trauma patients: A systematic review. J Trauma Acute Care Surg. Feb 1 2021;90(2):396-402. doi:10.1097/TA.0000000000003027 Vettorello M, Altomare M, Spota A, et al. Early Hypocalcemia in Severe Trauma: An Independent Risk Factor for Coagulopathy and Massive Transfusion. J Pers Med. Dec 28 2022;13(1)doi:10.3390/jpm13010063 Wray JP, Bridwell RE, Schauer SG, et al. The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med. Mar 2021;41:104-109. doi:10.1016/j.ajem.2020.12.065 Zhang Z, Xu X, Ni H, Deng H. Predictive value of ionized calcium in critically ill patients: an analysis of a large clinical database MIMIC II. PLoS One. 2014;9(4):e95204. doi:10.1371/journal.pone.0095204 See omnystudio.com/listener for privacy information.

In 2016, after 10 years working frontline as a Consultant in Emergency Medicine and Major Trauma, Dr Bahl decided to pursue her interest in Exercise and Physical activity and retrain formally in Sports and Exercise medicine.  She now shares her working hours between being a Consultant in Emergency Medicine at Kings College London, working as an Adult and Paediatric SEM Consultant at the National Centre in Loughborough and for UHL, working as a Clinical champion for Physical Activity for the Department of Health and Social care and as a Medical Examiner.  Her specialist interests include Corporate and Conference Health, Performing Arts Medicine, Post Covid recovery and Focused Ultrasound.   She  delivers webinars on wellbeing and personal sustainability for a number of clients, including HEEM and L'Oreal.  She is  a Level four personal trainer. In her non-work time she runs with her dog, dances, does yoga, escapes to her garden and is an Ambassador for InterAct, a charity that brightens up the lives of Stroke patients via live reading.  She spends as much time as possible around her teenagers, getting soundly beaten at any activities they do together, cooking dairy-free, nutritionally punchy meals and making the most of living in London.Support the show

As patients live longer their needs are becoming more acute during surgery; this piece asks how we can adapt practice to meet the new challenges this brings. These talks take a long view across the perioperative continuum with a focus upon cognitive impairment and other vulnerable brain patients. Presented by Laura MacDarby, Consultant Anaesthetist in The Royal London Hospital, a referral centre for Major Trauma and Stroke in the Whitechapel area of London and Roisin Coary, SpR in Geriatric and General Internal Medicine, with a specialist interest in Peri-operative Medicine, currently based in Dublin, Ireland.

In this latest episode I am joined by Dr Matt Creed, a Consultant in Anaesthetics, Major Trauma and Pre-Hospital Emergency Medicine based in Cardiff. Matt has been active in pre-hospital care for over a decade, having worked with a number of different services in both England and Wales. In this episode we discuss how to get involved in pre-hospital care, the history of the BASICS scheme and some of the latest PHEM research, exploring how it can be applied in wilderness and austere settings. Links from the episode: https://www.basics.org.uk/ https://www.medservewales.org/ Diploma in Immediate Care References: Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled,phase 3 trial; Crombie, Nicholas et al; The Lancet Haematology, Volume 9, Issue 4, e250 - e261. Pharmacokinetics of intramuscular tranexamic acid in bleeding trauma patients: a clinical trial; Grassin-Delyle, Stanislas et al; British Journal of Anaesthesia, Volume 126, Issue 1, 201 - 209

Welcome to the Beyond Breakthroughs podcast. A place where we discuss everything related to business growth, spirituality, manifestation, and all things universal laws. I'm your host, Adele Tevlin founder and creator of the C.E.O Blueprint. I Help women create massive abundance in their life and business on their terms free from burnout with absolutely no grinding over here.In this episode we discuss:Four major signs that indicate you could be suffering from unhealed trauma.Why these layers of unprocessed trauma will keep showing up at each level.Today we are going to change the way you look at things, and have you leading from desire. We need to start making decisions in our life from inspiration rather than negative motivation.Why we constantly make decisions that move us away from something instead of towards it.A powerful meditation that I refer to as a re-parenting technique, that is going to have you connect to your inner child. Don't forget to share this in your stories and tag me on Instagram @adele_tevlin!Join Us March 28th for Dialling Into Desire And Healing The Trauma Response - A Mindset Workshop. In this transformational container you will experience love, growth and healing and teachings that will lead you to live an inspired life. You will learn to change your perspective in a practice way. You will receive coaching that will help you see and break through your blind spots.  Join here!https://ceoblueprint.thrivecart.com/desire-vs-trauma/Join the 7 Figure Elite Experience!Get An All Access Pass To My #1 Coaching Program Beyond Breakthroughs For The ENTIRE YEAR... and so much more! Join here!https://ceoblueprint.co/the-elite1638902589594Join the Morning Mindset Calls!  Morning calls M-F for the entire year! 9:45am-10am EST, join here!https://ceoblueprint.co/morningmindset1639004314699Follow me over on Instagram @adele_tevlin!Visit my website and learn more about how we can work together!https://ceoblueprint.co/course

Podcast Topics Include: JOHN DAVIS, Awaken Your Inner Action Hero, Generational Alcoholism, Breaking Generational Addiction, Spirituality, Catholicism, Zen, Monks, Universal Truth, Dr. Wayne Dyer, Christ Consciousness, The Corporate Action Hero, The 5 F System, Recovery from Major Trauma, Spina bifida occulta, Spinal Cord Rehabilitation, Martial Arts, Sword Fighting, Bruce Lee, Tao of Jeet Kune Do, Be Water, Mental Flexibility, Parasympathetic Nervous System, Understanding the Fear Response, Mind over Matter, Prana, Chi Energy, Soul Energy, Living in One Conscious Moment, Buddha, Gandhi, Krishna, Moses, I AM, Amen, Creative Energy, Hacking the Fear Response, Climbing Mt. Sanai, How to Recognize You Are In Fear, How our Fight or Flight Response Judges Every Aspect of Our Lives, Using Breathing and Exhalation to Step Out of Fear, and more... John is a dynamic speaker, accomplished leader, and expert in managing people to peak performances during change. He has over 20 years of experience speaking for Fortune 500 clients and a broad swath of industries including healthcare, financial, insurance, retail, and the military, at hundreds of conferences, seminars, and retreats. Contact John: ( https://www.corporateactionhero.com/ ) Inner Action Hero Apple Podcast ( https://podcasts.apple.com/us/podcast/inner-action-hero/id1553701356 ) “If you are looking for someone to speak to your team, ignite the embers of change in your organization, or simply build teamwork and foster confidence in your organization, then look no further than John C Davis, the Corporate Action Hero. I can't recommend him enough." ~ Michael Leone, Widget Financial John's background in peak performances stems from his work as a fight director and stunt coordinator for stage and film as well as his work for the military. His ability to engage individuals, unite teams, and drive change was instrumental in increased profitability of three regional theme parks by more than 60% in under six months of his direction. During this time, John was also a professional comedian who brought his unique entertainments to bear for our military on six USO tours to the front lines of both Iraq and Afghanistan. Inspired by his work with the military, John felt he had to find deeper meaning in his work, and began focusing on helping others reach their chosen potentials. This new direction led him to become a college professor at Oberlin College in Ohio. While teaching at Oberlin, John's fascination with personal development led him to study the neuroscience of performance. He developed peak performance protocols based upon the fight or flight response, called the “Five F Protocols.” Based upon the primal reactions of the fight or flight response, the “Five F Protocols” have proven over the years to drastically reduce learning curves and all but eliminate self defeating thoughts that hinder performance. If you need a dynamic, powerful, opening or closing Motivational Speaker who can inspire your audience to take immediate action, then John Davis, the Corporate Action Hero, is your speaker. You have worked hard to bring the best information, products, services, and training to your audience. Now challenge them to engage, discover, and implement the content you have brought. Using humor, physical demonstrations, and audience Interaction, John will have your audience on the edge of their seats, bouncing from each "AHA" moment to the next. Your audience will leave the program charged to achieve greater success in both their personal and professional lives. --- Send in a voice message: https://anchor.fm/soberisdope/message

Welcome back to the VTE Dublin Podcast where you'll find all the recent talks from the VTE Dublin Conference. Be sure to subscribe to the VTE Dublin Podcast Video: Audio:  

Stuart chats us through the Scottish Trauma network, what a major trauma centre is and the major trauma triage tool, helping us get the right patient to the right place at the right time.    BIOGRAPHY   Stuart is a Paramedic with the Scottish Ambulance Service (SAS) based in Paisley and is currently the Project Lead Major Trauma Triage Tools (MTTT). Stuart started his SAS career as a Community First Responder with Neilston and Uplawmoor First Responders who were awarded the Queen's Award for Voluntary Service in 2018. Stuart has been involved since the group was established and is still hugely involved with their work. Stuart was appointed as Project Lead Major Trauma Triage Tools (MTTT) at the start of the year to roll out the MTTTs. “The Scottish Ambulance Service is a fundamental part of the STN and this is a really exciting time for us as the MTTTs will allow paramedics and technicians to triage patients to definitive care wherever possible”.   3 TOP TIPS   Utilise the MTTT where applicable. Apply the MTTT to all significantly injured patients or those involved in high mechanism incidents. If you need any support contact the Trauma Desk. Whether it is clinical, logistical or requesting the support of advanced teams contact to Trauma Desk when needed. Documentation of the MTTT when used is key. If the MTTT is applied to any patient whether they are major trauma positive, negative or whatever hospital they are conveyed to document the use of the MTTT.

Molly Weisgram tells the story of the day her family woke up and the life they had, completely changed. Learn what Guillain-Barré Syndrome is, and how it affects the person under the diagnosis. Molly explains how her and her family learned through education and awareness from diagnosis to recovery.We Meet: Molly Weisgram, Author, ProfessionalEpisode References: Guillain-Barré syndrome - https://tinyurl.com/28a5kuw7CaringBridge - https://www.caringbridge.org/Connect:Connect with Rick: https://linktr.ee/mrrickjordanConnect with Molly: http://mollyweisgram.com/Subscribe and Review to ALL IN with Rick Jordan on iTunesSubscribe and Comment on CastBoxSubscribe on Google Podcasts or Google PlayFollow on SpotifySubscribe and Review on StitcherAbout Guest: Molly Weisgram is the author of The Other Side of Us: A Memoir of Trauma, Truth, and Transformation, a beautifully crafted story about a young family that faces the unimaginable, a sudden and traumatic health crisis. Molly's husband becomes a quadriplegic on a ventilator in a matter of days with no promise of a full recovery. When it seems all is lost, they begin the eventual climb to a new life. In The Other Side of Us Molly takes readers to the depths of calamity and to the heights of restoration. Molly earned her undergraduate degrees in English and Psychology and her master's degree in Communication Studies from the University of South Dakota. She studied with the Centers for Spiritual Living and graduated from its Spiritual Practitioner Program in 2017. The Other Side of Us is her debut book.Molly Weisgram lives in Fort Pierre, South Dakota, with her husband Chris Maxwell and their four children: Benjamin, Samuel, Isaac and Hannah. In addition to her children's laughter, Molly's favorite things include soul searching, nature, and happy hour. She believes life is not about disease but about recovery.

A conversation with Alistair Teager and Ben Dawson

Podcast Topics Include: JOHN DAVIS, Awaken Your Inner Action Hero, Generational Alcoholism, Breaking Generational Addiction, Spirituality, Catholicism, Zen, Monks, Universal Truth, Dr. Wayne Dyer, Christ Consciousness, The Corporate Action Hero, The 5 F System, Recovery from Major Trauma, Spina bifida occulta, Spinal Cord Rehabilitation, Martial Arts, Sword Fighting, Bruce Lee, Tao of Jeet Kune Do, Be Water, Mental Flexibility, Parasympathetic Nervous System, Understanding the Fear Response, Mind over Matter, Prana, Chi Energy, Soul Energy, Living in One Conscious Moment, Buddha, Gandhi, Krishna, Moses, I AM, Amen, Creative Energy, Hacking the Fear Response, Climbing Mt. Sanai, How to Recognize You Are In Fear, How our Fight or Flight Response Judges Every Aspect of Our Lives, Using Breathing and Exhalation to Step Out of Fear, and more... John is a dynamic speaker, accomplished leader, and expert in managing people to peak performances during change. He has over 20 years of experience speaking for Fortune 500 clients and a broad swath of industries including healthcare, financial, insurance, retail, and the military, at hundreds of conferences, seminars, and retreats. Contact John: ( https://www.corporateactionhero.com/ ) Inner Action Hero Apple Podcast ( https://podcasts.apple.com/us/podcast/inner-action-hero/id1553701356 ) “If you are looking for someone to speak to your team, ignite the embers of change in your organization, or simply build teamwork and foster confidence in your organization, then look no further than John C Davis, the Corporate Action Hero. I can't recommend him enough." ~ Michael Leone, Widget Financial John’s background in peak performances stems from his work as a fight director and stunt coordinator for stage and film as well as his work for the military. His ability to engage individuals, unite teams, and drive change was instrumental in increased profitability of three regional theme parks by more than 60% in under six months of his direction. During this time, John was also a professional comedian who brought his unique entertainments to bear for our military on six USO tours to the front lines of both Iraq and Afghanistan. Inspired by his work with the military, John felt he had to find deeper meaning in his work, and began focusing on helping others reach their chosen potentials. This new direction led him to become a college professor at Oberlin College in Ohio.  While teaching at Oberlin, John's fascination with personal development led him to study the neuroscience of performance. He developed peak performance protocols based upon the fight or flight response, called the “Five F Protocols.” Based upon the primal reactions of the fight or flight response, the “Five F Protocols” have proven over the years to drastically reduce learning curves and all but eliminate self defeating thoughts that hinder performance. If you need a dynamic, powerful, opening or closing Motivational Speaker who can inspire your audience to take immediate action, then John Davis, the Corporate Action Hero, is your speaker. You have worked hard to bring the best information, products, services, and training to your audience. Now challenge them to engage, discover, and implement the content you have brought. ​Using humor, physical demonstrations, and audience Interaction, John will have your audience on the edge of their seats, bouncing from each "AHA" moment to the next. Your audience will leave the program charged to achieve greater success in both their personal and professional lives. --- Send in a voice message: https://anchor.fm/soberisdope/message

Amelia is an author and storyteller who discusses her experiences dealing with rape and sexual assault, the trauma and Bipolar disorder that followed, and how she was able to overcome it to live a life of solace and comfort. **TRIGGER WARNING** In this episode we go into topics of rape and sexual assault. If these topics trigger you, please don't listen to the episode. If you do decide to listen to the episode and feel triggered by some of the topics mentioned in this episode, there are some mental health resources below! The Mental Corner Podcast is a show hosted by Harry Potvin where guests from all different backgrounds come on weekly and discuss the many different aspects of Mental Health and how we can change society, and ourselves for the better. Amelia's Socials: Website: https://ameliazachry.com Harry's Socials: Instagram: https://www.instagram.com/thementalcorner/ Mental Health resources: https://www.camh.ca https://twloha.com https://jack.org/Home https://kidshelpphone.ca https://www.canada.ca/en/public-health/services/mental-health-services/mental-health-get-help.html

This episode discusses the role of calcium in trauma patients and whether or not the lethal triad of trauma should be updated to the lethal diamond to include calcium.

In this week's podcast Martin Esposito talks about pain assessment and management. The discussion explores the definition of pain, and the biological and psychological complexities associated with something that is physical yet subjective in perception. Martin looks at the importance of ongoing pain assessment and explores the options in pre hospital pain relief; after discussing analgesia he sets out why pain control is more than medication administration. Key points from this podcast: Remember that pain is more than a just physical symptom The importance of assessing pain as assessing well means you can treat it Provide pain relief and treat it adequately using all the tools in your toolkit Resources related to this podcast: Transition from acute to chronic pain – BJA Education – https://academic.oup.com/bjaed/article/15/2/98/248869 Chronic Pain – Is it All in Their Head? – Daniel J. Clauw M.D – https://www.youtube.com/watch?v=B0EhNajqkdU About Martin Martin is the Clinical Effectiveness Lead for Major Trauma for the Scottish Ambulance Service. He has worked within ambulance services in the UK for over 23 years gaining a wealth of experience in a variety of roles. Since qualifying as a paramedic in 2000 he has worked as an Emergency Care Practitioner, was seconded to the Physician Response Unit in London as well spending time as a flight paramedic for London's Air Ambulance. He has also spent a number of years in education and is an examiner on the Diploma in Immediate Care. Martin has a special interest in pain management and in 2018 completed an MSc in pain management at Cardiff University and has since become an Honorary Tutor on the Pain Management programme at Cardiff.  

Today's Topics: 1-2) Interview with Joe Garnica (LASD) involved in an officer involved shooting, sustained major trauma to his face. He attributes his survival to St Michael the Archangel. 3-4) https://www.charismanews.com/opinion/heres-the-deal/74772-21-ways-the-devil-is-using-the-democratic-party-to-destroy-america - 21 Ways the Devil Is Using the Democratic Party to Destroy America -

Welcome back to TheCase.Report! For our first trauma special, we felt it was important to have a special focus on silver trauma. Orla and Tom will take us through some contrasting cases, and Dr. Áine Mitchell will look over their work. For our second segment, Jeff sat down with Prof. Conor Deasy for a chat about the state of trauma services in Ireland and the Major Trauma Audit. Dr. Shane Broderick joins Jeff for the last segment to give us some invaluable tips when dealing with trauma. Head over to TheCase.Report website for all the show notes and resources. Let's get to it!

This is a wide ranging conversation with Mark Faulkner - the clinical development manager for critical care (advanced practice) within the London Ambulance Service NHS Trust, Mark is also the clinical advisor for Major Trauma within the LAS and as such sits on the Pan London Trauma Steering Group, as well as number of national trauma groups. In this episode we examine a variety of topics that encompass decision making, experience & empirical background, additional clinical interventions, leadership & non-technical skills and support/pastoral functionalities of advanced practice. We discuss: Overview of the APPCC Scheme The patient target group & demographics Added value of interventions Vs decision making. Training, quality assurance and quality improvement within the scheme. First line staff engagement – who sees these groups of patients first Innovations that the scheme has just embedding and medium to long-term innovations that have improved the program Non-technical aspects of care Vs technical skills & utilisation rates Incremental gains when orchestrating flash teams Personal learnings over the last >6 years I hope you enjoy the episode

After her son passed away from cancer, Erica went on an 8-year journey where she felt and acted insane. It was eventually discovered that Erica had PTSD and it’s taken her only up until last year to finally feel somewhat normal again and to recognize her triggers. She shares both the emotional and physical toll the loss of her son took on her and what has helped bring her back to a bit of normalcy as she continues on.    Key Takeaways: Erica lost her son to cancer.  Erica went to therapy and spent her time trying to convince her therapist that she was crazy. She felt insane.  Everything in Erica’s life just kept surfacing, the grief she had experienced even when she was two years old, and she couldn’t turn it off.  Not only did Erica suffer the emotional effects, but she had an intense physical response to grief as well. Erica was diagnosed with PTSD and she would randomly pass out when she got too stressed out.  The next phase Erica went through was fear. She had fear everywhere she turned.  Erica shares tactics and strategies she used to keep her grounded.  Erica felt like this for 8 years and it was only until the last year and a half did she feel like a normal person again.  It’s taken time for Erica to feel healthy again.  Your body reacts to what you’re thinking.  When Erica went back to work for the first time, it was really hard.  Erica got stuck in her grief when she saw her son decline.  It feels like a full-time job to keep herself somewhat ‘normal’.  Erica was working before the pandemic. Now she’s unemployed. She’s not sure what’s next for her.  Susan and Erica talk about their relationship with God after the passing of their loved one.  When it comes to grief, get a therapist! You’re not crazy if you have someone to help you through this journey.  If you have bad or evil thoughts, it doesn’t mean you’re suicidal. You’ve gone through something very dramatic in your life. Practice forgiveness.  If you think you’re losing your mind or going insane, this is very normal in your grief journey.    Resources: Man's Search for Meaning by Viktor Frankl

In this episode I interview Karim Ahmed the clinical lead for the emergency department of the Royal London Hospital (RLH) in Whitechapel. We examine the impact of MTCs across the health economy and why they can add a survival benefit to the patient. We also look at the utility of overlaying fundamental and essential patterns of care to complex scene's and how this deconstructs some extremely challenging pathology. We also examine the social deprivation that tracks trauma & some of the outliers that can present to the RLH. We also get some pearls of wisdom from Karim in relation to trauma and the wider population of undifferentiated trauma patients that constitute the case load seen on any given day in London. I hope you enjoy this episode with an insightful friend and colleague.

Trauma patients are at high risk of developing Trauma Induced Coagulopathies; the patient sub-group already using prescribed oral anticoagulants for pre-existing illness are at an even greater risk of developing complications related to this. Dr Giles Kelsey, Consultant Haematologist at The Royal Melbourne Hospital and The Alfred Hospital talks to us about assessment, identification and management of bleeding patients from trauma with a particular focus on those on Oral Anticoagulant Medication. Current at date of publication 01/05/2020.

Debriefing after trauma is an important quality improvement process that allows the team as a whole to reflect on their performance after a high stakes clinical scenario. Dr Luke Phillips, an Emergency Physician at The Alfred Hospital talks to us about the principles of debriefing after a major trauma with a focus on “Hot Debriefing”. Current at time of publication 05/03/2020.

The obstetric trauma patient presents as a complex scenario for all clinicians. We often get distracted by the unborn child, but foetal survival depends on effective maternal resuscitation. With the use of case studies, Dr Emma West – Consultant Emergency Physician at the Royal Melbourne Hospital, talks us through the initial assessment and management priorities of the pregnant major trauma patient. Current at date of publication 5/03/2020.

Children are vulnerable to injury for a variety of reasons and trauma continues to be their leading cause of morbidity and mortality. Dr Claire Wilkin, Consultant Paediatric Emergency Physician joins us to talk through the challenges of managing a paediatric trauma patient and shares her experience, tips and tricks to assist clinicians the next time they care for a Paediatric Major Trauma. Current at date of Publication 28/1/2020  

This episode will get you thinking about intravenous fluid choices for when you are next managing a hypovolaemic trauma patient. Dr. John Dyett, an Intensive Care Specialist at Eastern Health & Retrieval Consultant at Adult Retrieval Victoria discusses the key principles of fluid resuscitation in the severely hypovolemic Major Trauma patient. John explains the aims for haemostatic resuscitation, rationales for blood product administration and how to prevent or modify the effects of the lethal triad.

Lifesaving pin hole surgery! Why, when, where, how, and who? Dr Gerard Goh, Interventional Radiologist at Alfred Health, explains the role of Interventional radiology, a minimally invasive technique in the management of life threatening injuries in Major Trauma. Current at time of publication 30/10/2019.

The hard fact is that you may not possess the tools to get past the types of emotional pain that trauma can bring into your life. Learning how to deal with negative emotions that stem from any form of trauma, big or small, generally is near to impossible for you alone... The post How To Begin Your Healing Journey After A Major Trauma UYTI218 appeared first on Learn Intuition with Dr Lesley Phillips.

Ambulance Victoria (AV) is often the first responder to a major traumatic incident. Ian Hunt, MICA Paramedic and Manager of the Emergency Management Unit explains how AV respond, coordinate & communicate in the event of a major trauma incident, whilst ensuring AV’s normal business and service to the community has little interruption. If only there was a big red button. Current at date of publication; 09/07/2019. 

Beth invites Alistair Teager, a Consultant Clinical Neuropsychologist to talk about his clinical work, his journey to qualification, multidisciplinary work at Salford Royal Hospital and the role clinical psychology has and can have when responding to major trauma.

Did you know there are systems designed that send major trauma patients to the best hospital for their condition? The technology used gets patients to help in the most safe and timely manner. Michael (Mick) Stephenson, Executive Director of Clinical Operations at Ambulance Victoria talks to us about the Ambulance Victoria response to major trauma patients. Mick describes activation systems that the initial 000 call will trigger to ensure an appropriate response; with extra consideration to ensure an accurate assessment, triage and management. Current at date of publication; 18/04/2019.

People who are seriously injured are at greater risk of being hospitalized for a mental health disorder or of dying by suicide within the following five years, according to a new study. The research involved over 19,000 people who were… »

With bonfire night approaching we thought it would be a good time to have a think about burns. However burns are a significant issue at all times of year with around 130,000 presentations to UK EDs annually, 10,000 cases are admitted to hospital, 500 of these have severe burns and 200 of these will die. But most importantly intervention that we make can make a big difference to both morbidity and mortality, really affecting outcomes.  Throughout this episode we'll be covering the essential first responder management, all the way through to the critical care that maybe required for the sickest of burns patients.  In the podcast we cover Burn type and burn severity The importance of history Assessing burn extent Assessing burn depth The A-E assessment and specifics regarding the burns patient NAI, antibiotics, tetanus cover, analgesia, special circumstances eyes & chemicals Conveyance and destination As always we'd love to hear any thoughts or comments you have on the website and via twitter, we look forward to hearing from you. Enjoy! Simon, Rob & James    References British Burn Association First Aid Clinical Practice Guidelines BBA Clinical Practice Guideline for Management of Burn Blisters BBA Clinical Practice Guideline for Deroofing Burn Blisters RCEMLearning; Major Trauma, Burns National Burn Care Referral Guidance WHO; fact sheet on burns NHS Standard Contract for Specialised Burns Care (All Ages) Schedule 2- The Services A. Service Specification LITFL; burns Clinical review: The critical care management of the burn patient. Jane A Snell. Crit Care 2013 Fluid resuscitation in major burns. Mitra B ANZ J Surg. 2006 How well does the Parkland formula estimate actual fluid resuscitation volumes? Cartotto RC. J Burn Care Rehabil. 2002 Fluid resuscitation management in patients with burns: update. Guilabert P. Br J Anaesth. 2016 ISBI Practice Guidelines for Burn Care 2016  

Managing external haemorrhage is easy right?! Then why does haemorrhage remain a major cause of death from trauma worldwide? Ok, some of that is from internal sources, but…. No one should die from compressible external haemorrhage With the right treatment applied in a timely fashion, the vast majority of these bleeds can be stopped. But with new advances like haemostatic agents, changing advice surrounding tourniquet use and practice changing evidence coming out of conflict zones can mean it’s difficult to remain current with the latest best practice. So what options are available to us, how do we use them and what’s the evidence. Here’s the line-up for this months’ podcast: Haemorrhage control ladder Evidence based guidelines on haemorrhage control Direct pressure Enhanced pressure dressings Haemostatic agents and wound packing Tourniquets Case studies As always we welcome feedback via the website or on Twitter and we look forward to your engagement. Enjoy! Simon, Rob & James   References & Further Reading Bennett, B. L & Littlejohn, L. (2014) Review of new topical hemostatic dressings for combat casualty care. Military Medicine. Volume 179, number 5, pp497-514. Lee, C., Porter, K. M & Hodgetts, T. J. (2007) Tourniquet use in the civilian prehospital setting. Emergency Medicine Journal. Volume 24, pp584-7.  Nutbeam, T & Boylan, M. (2013) ABC of prehospital emergency medicine. Wiley Blackwell. London. Shokrollahi, K., Sharma, H & Gakhar, H. (2008) A technique for temporary control of haemorrhage. The Journal of Emergency Medicine. Volume 34, number 3, pp319-20. Trauma! Extremity Arterial Hemorrhage; LITFL  The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Rolf Rossaint. Critical Care 2016. NICE 2016. Major Trauma; Assessment and Initial Management FPHC 2017; Position statement on the application of Tourniquets    

This week we discuss some pearls from the 14th All NYC EM Conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_145_0_Final_Cut.m4a Download Leave a Comment Tags: Documentation, Major Trauma, Massive Transfusion Protocol Show Notes All NYC EM Conference Read More Core EM: Episode 77.0 – Give TXA Now! Read More

This week we discuss some pearls from the 14th All NYC EM Conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_145_0_Final_Cut.m4a Download Leave a Comment Tags: Documentation, Major Trauma, Massive Transfusion Protocol Show Notes All NYC EM Conference Read More Core EM: Episode 77.0 – Give TXA Now! Read More

Dr Jamie Thomas (@mcdreeamie) presents from the inaugural Focused Trauma Conference in Antwerp. This episode looks at the first part of the day; looking at Major Trauma in Belgium and lessons from the UK and traumatic cardiac arrest. More information can be found at takeaurally.com. You can also find Take Aurally on both Facebook and Twitter.

Describing the importance of patient handover and the critical time when the pre-hospital practitioner will give this information to the receiving hospital staff. Using an analogy of the characters that appear in cowboy films, the preacher stands out as one who usually plays a small but significant role in getting his message across. We will compare this to the modern day practitioner and how they should achieve the objective of giving a good handover to the receivers, who may or may not be believers

This week the podcast features a talk Jenny Beck-Esmay gave at the 11th All NYC EM Conference entitled "Give TXA Now!" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a Download One Comment Tags: All NYC EM, CRASH-2, Massive Transfusion Protocol, MATTERS, Trauma, TXA Show Notes Take Home Points Giving TXA provides a significant mortality benefit to the any trauma patient requiring massive transfusion with an NNT = 7 for mortality TXA must be given early. Give within 1 hour of injury if possible but the benefit remains up to 3 hours out TXA administration: 1 gram as a bolus followed by 1 gram over the next 8 hours Show Notes Intensive Care Network: Karim Brohi on TXA in Trauma EMCrit: Podcast 67 – Tranexamic Acid (TXA) Core EM: CRASH-2 Tranexamic Acid in Major Trauma References CRASH-2 trial collaborators. Effects of tanexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a ransomised placebo-controlled trial.

This week the podcast features a talk Jenny Beck-Esmay gave at the 11th All NYC EM Conference entitled "Give TXA Now!" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a Download One Comment Tags: All NYC EM, CRASH-2, Massive Transfusion Protocol, MATTERS, Trauma, TXA Show Notes Take Home Points Giving TXA provides a significant mortality benefit to the any trauma patient requiring massive transfusion with an NNT = 7 for mortality TXA must be given early. Give within 1 hour of injury if possible but the benefit remains up to 3 hours out TXA administration: 1 gram as a bolus followed by 1 gram over the next 8 hours Show Notes Intensive Care Network: Karim Brohi on TXA in Trauma EMCrit: Podcast 67 – Tranexamic Acid (TXA) Core EM: CRASH-2 Tranexamic Acid in Major Trauma References CRASH-2 trial collaborators. Effects of tanexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a ransomised placebo-controlled trial. Lancet 2010; 376: 23-32.

Paediatric major trauma is rare and terrifying. Seriously injured children need good care but a number of factors (the relatively unusual presentations, their size, the way they communicate, their parents..!) make looking after them feel a lot harder than it really is. So what do clinicians really need to know to look after paediatric major trauma? We need to understand differences in physiological responses to injury (and how these can fox our triage assessments), differences in patterns and mechanisms of injury (and how these correspond to the way we diagnose, image and manage injuries in children) and how we can best prepare ourselves to make sure we look after these children well.

Dr Douglas Wilkinson talks about trauma demand, trauma courses in developing countries, and global health in the 21st Century. Dr Wilkinson is a Consultant Anaesthetist in Intensive Care Medicine at Oxford University Hospitals NHS Foundation Trust and Associate Fellow at Green Templeton College, Oxford University. He founded the Primary Trauma Care Foundation (PTC) in Oxford and is Surgeon Commander in the Royal Naval Reserve.

Back at the Leeds CPD conference in March 2016 (we have some podcasts here, here and here if you want to know more) I had the chance to sit down with Jon Jones, Consutant in EM in Leeds to chat about major trauma

So we were lucky enough to be asked to cover the Trauma Care Conference and specifically today's day focussing on Major Trauma in the Emergency Department. We managed to to get a few minutes of time from some of the superb speakers and get their  take home messages from their talks. Enjoy! Relevant Resources TraumaCare PHEMCAST  KIDS Calculator Perimortem C-section

A look at the headlines from the newly released guidance from NICE. Some bits of this may prove tricky to implement with current systems including the time to RSI....

Simulation is one of the most important advances in healthcare education and skills training of our generation. We now have simulation mannequins that can blink, breath, or even give birth thus allowing us to practice scenarios and skills before we encounter them in real patients. However, these sim dummies are not real people and so it is all too easy to dehumanize the scenario. According to Dr Phil Hyde, Director of Children’s Major Trauma and Southampton Children’s Hospital, it is this lack of emotional attachment that makes pure sim inadequate for training health care professionals in the management of trauma – especially trauma in children. In his talk from SMACC Chicago, Dr Phil Hyde illustrates why he and his colleagues have developed an educational program that takes sim to the next level. The key difference in this sim program is the incorporation of volunteer children to play the roles of injured paediatric patients. Another key aspect of this program are the incorporation of multidisciplinary teams including undergraduate students for all scenarios.The benefits of such a program have been far reaching. For the health professionals involved, it humanizes the scenario and induces an emotional attachment to the training exercise which adds an essential component to the training. Furthermore, it teaches professionals from different fields (nursing, medicine, allied health etc) to work together in these scenarios as would normally occur in real life. For the children involved, it is a safe controlled environment where they can learn about the health professionals and the health system, they learn about primary prevention and they can provide feedback to staff from a different vantage point. The community benefits through the improved primary prevention which is the most important aspect of treating trauma, a “man made disease”. This is a simple, yet powerful program that has so many benefits beyond the training of doctors and nurses to manage children involved in trauma. This is an intriguing, innovative talk that everyone can take something away from. Southampton Children’s Hospital is part of the University Hospital Southampton NHS Foundation trust. It is one of the largest teaching trusts in the UK. All of the simulation programs developed by Dr Phil Hyde and his colleagues at Southampton are open access and available for all health professionals to incorporate into their practice.

September 2015 brought us the superb RCEM Annual Scientific Conference in Manchester. Rick Body and the Organising Committee did a superb job of providing us with 3 days of education, entertainment and networking.

I recently met Ross in the flesh. What a super chap. A great clinician who really wants to improve care for injured children in the UK and around the world. In this podcast he gives us a paediatric perspective on how we should approach the seriously injured child. Great stuff, controversial in places, challenging to adult dogma and always excellent. S PS. If you ever get to hear him speak.... then do, he's awesome. Check this out.

Interview with Samuel M. Galvagno Jr, DO, PhD, author of Association Between Helicopter vs Ground Emergency Medical Services and Survival for Adults With Major Trauma

Introduction: The appropriate strategy for trauma-induced coagulopathy management is under debate. We report the treatment of major trauma using mainly coagulation factor concentrates. Methods: This retrospective analysis included trauma patients who received >= 5 units of red blood cell concentrate within 24 hours. Coagulation management was guided by thromboelastometry (ROTEM(R)). Fibrinogen concentrate was given as first-line haemostatic therapy when maximum clot firmness (MCF) measured by FibTEM (fibrin-based test) was < 10 mm. Prothrombin complex concentrate (PCC) was given in case of recent coumarin intake or clotting time measured by extrinsic activation test (EXTEM) > 1.5 times normal. Lack of improvement in EXTEM MCF after fibrinogen concentrate administration was an indication for platelet concentrate. The observed mortality was compared with the mortality predicted by the trauma injury severity score (TRISS) and by the revised injury severity classification (RISC) score. Results: Of 131 patients included, 128 received fibrinogen concentrate as first-line therapy, 98 additionally received PCC, while 3 patients with recent coumarin intake received only PCC. Twelve patients received FFP and 29 received platelet concentrate. The observed mortality was 24.4%, lower than the TRISS mortality of 33.7% (P = 0.032) and the RISC mortality of 28.7% (P > 0.05). After excluding 17 patients with traumatic brain injury, the difference in mortality was 14% observed versus 27.8% predicted by TRISS (P = 0.0018) and 24.3% predicted by RISC (P = 0.014). Conclusions: ROTEM(R)-guided haemostatic therapy, with fibrinogen concentrate as first-line haemostatic therapy and additional PCC, was goal-directed and fast. A favourable survival rate was observed. Prospective, randomized trials to investigate this therapeutic alternative further appear warranted.