Post on 14-Feb-2017
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TRAUMAThe Year In ReviewChris Hicks, MD. FRCP(C)Emergency Physician, Trauma Team Leader
St. Michael’s Hospital
Toronto
@HumanFact0rz
Andrew Petrosoniak, MD, FRCP(C)Emergency Physician, Trauma Team Leader
St. Michael’s Hospital
Toronto
@Petrosoniak
The Hateful Eight
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WJS 2013, 37: 1277-1285
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Critical Care 2013, 17:308
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BJM 2012; 345: 38-42
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http://stemlynsblog.org/nice_major_trauma_guidelines_stemlyns/
BJM 2012; 345: 38-42
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× : × : ×
Injury 2015, 46: 807-813
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J Trauma 2009, 66: 346-352
o Penetrating mechanism
o HR > 125
o BP < 90
o FAST positive
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Ann Emerg Med 2016, April 26 (E-pub)
1. Consider bi-thoracotomy (“clamshell”) as your initial approach
2. Cardiac POCUS predicts futility in traumatic cardiac arrest
3. Penetrating thoracic trauma < 10 minutes = resuscitative thoracotomy
4. A selective approach to imaging in blunt trauma
The Dog’s Bollocks
5. Knock it off with the crystalloid
6. Balanced ratio of blood products likely favours survival in bleeding patients
7. Predicting massive transfusion is tricky – ABC Score, Shock Index
8. Drop the dose in shocky patients
The Dog’s Bollocks
@HumanFact0rz@Petrosoniak