Back for another month of interesting, arcane, important, or baffling articles. As we enter the winter in the Northern hemisphere, and I have little interest in heading outside, I will probably spend more time reading, so these write ups might get longer for the next few months. For now, the […]
trauma
29 posts
Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: https://broomedocs.com/2024/10/first10em-journal-club-october-2024/
REBOA (resuscitative endovascular balloon occlusion of the aorta) has been discussed in the emergency medicine world for quite some time now, but always with very limited data. There have been some observational studies that suggested REBOA was associated with worse outcomes, but the outcomes were largely assumed to be the […]
Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the rigorous process of whatever I happened to find most interesting in my recent reading (with a couple suggestions from Dr. Casey Parker). The BroomeDocs podcast version can be found here: […]
As usual, a random smattering of articles. This group was presented as part of a live podcast recording at Sir Charles Gairdner Hospital in Perth, Australia, where I was honoured to be invited to be the WG Smith visiting lecturer. The guests helped select the papers, which means they are […]
In the massive hemorrhage deep dive, I mentioned that there were a number of large trials in the works that would further define practice. One of those trials – CRYOSTAT-2 – was just published, and adds important information about the role of empiric fibrinogen administration (in the form of cryoprecipitate) […]
Over the last decade, I have heard the language around balanced transfusions shift from an ‘interesting new idea’ to the ‘proven standard of care’. Although that is the direction that science is supposed to progress, in this case there is really no science. We only have a single full RCT, […]
In part 2 of the laceration evidence series, we are going to tackle all of the evidence around wound irrigation and cleansing. The value of irrigation seems pretty obvious. Traumatic wounds are contaminated, and we should do our best to clean them. “The solution to pollution is dilution.” Therefore most […]
This is the beginning of a long series looking at all the evidence around laceration repair in the emergency department. This evidence will also be covered in depth on the Emergency Medicine Cases Journal Jam podcast. We will look at preparation of wounds, including irrigation and the use of sterile […]