Trauma

Is full pre-hospital spinal immobilisation best for the patient? A review of current controversies

Porth and Matfin (2008) describe SCI as damage to the neural elements of the spinal cord. SCIs are commonly classified using the American Spinal Injury Association (ASIA) Impairment Scale (Figure 1)...

Should the Kendrick Extrication Device have a place in pre-hospital care?

Essentially the KED is a flexible mini back board that, when in position on the casualty, extends from their lower back to above their head. It also extends laterally to encompass the flanks and head,...

Self-extrication in road traffic collisions: do we really need to cut the roof off?

This literature review incorporates two principal searches. Initially the review interrogated the Ovid Medline database, with search terms including ‘extrication’, ‘movement’, ‘pre-hospital’ and...

Evaluation of pre-hospital point-of-care testing for lactate in sepsis and trauma patients

This study was designed to examine the feasibility, and potential impacts, of introducing POC lactate measurement into pre-hospital care within NEAS. The primary objective was to evaluate the Nova...

Examining current trends and research in pre-hospital hypotensive resuscitation

Jackson and Nolan (2009) note that although the understanding of hypotensive resuscitation as described in the literature is clear, there are a number of discrepancies with regards to how much of...

Trauma patients who suddenly deteriorate in the care of paramedics: an Australian case

The sudden deterioration dataset had been created previously by linking twelve months of ambulance trauma data (2002) with the Victorian State Trauma Registry (VSTR) (Boyle, 2008). The VSTR contains...

Diagnosis and management of minor head injury in the UK

To describe current NHS practice, we mailed a questionnaire to the lead clinician of all major acute hospital emergency departments in the UK and analysed routine emergency department data from...

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