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ETM Podcast Episode 15 – Ben Newell – Decision making
Trauma is all about decision making, so it's tempting to think that knowing more about how we make decisions might help us do it better. There's been a lot of hype around System 1 and System 2, metacognition and bias in the Emergency Medicine scene lately that might...
ETM Podcast Episode 14 – Warwick Teague – Quad Bikes and Paediatric Trauma
There have been thousands of injuries & dozens of deaths in Australian children attributable to quad bike use. Warwick Teague, Paediatric Surgeon and Director of Trauma at Melbourne's Royal Children's Hospital is passionate about changing this. This is a sobering...
Tourniquets are back
Largely due evidence from increased military use in conflicts in the last two decades, tourniquet use has re-emerged as an effective way to control haemorrhage from limb injury, usually due to partial or complete amputation or severe crush injury (so called "mangled...
ETM Podcast Episode 13 – Scott Weingart & Andrew Perry – Approach to the Surgical Airway – Part 2
The last episode of the ETM Podcast (available here) with Bruce Paix generated a lot of comments on the blog and activity on Twitter. Scott Weingart (from EMCrit) very politely asked for some air-time to make a few additional comments on the topic of surgical airways...
ETM Podcast Episode 12 – Bruce Paix & Andrew Perry – Approach to the surgical airway
Andrew and Bruce are back, taking a deep-dive into the neck to discuss a procedure that can strike fear into even the most experienced trauma practitioner and one which has created much debate regarding the "best" method (i.e. needle vs knife). (Go to audio) Bruce is...
Traction splinting for fractured shaft of femur – why do we do it?
As the longest bone in the body, when it breaks a fractured shaft of femur is a very painful and potentially life threatening injury. One of the main initial treatments for this injury is application of some sort of traction splint, designed to apply distracting force...
ETM Podcast Episode 11: Trauma Short – Open pneumothorax
Welcome to the first ETM Course Podcast Trauma Short - bite-sized easy to digest quick reviews of practical trauma topics. In this episode we review the new UK NICE Trauma Guideline recommendation for management of open pneumothorax. In a nutshell, 3-sided dressings...
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Running a course like ETM is challenging, at times exhausting but ultimately extremely rewarding when you see the improvement in participants knowledge, skills and confidence in managing major trauma over the 3-days of the course. This reward is amplified when we read...
Large bore IV access showdown – Round 2
We got a lot of questions after round 1 of the large bore IV access showdown, mainly about the effect of points of narrowing that may be introduced to your fluid administration lines. So we set up round 2, testing the effect of a fluid warmer, an IV bung and a 3-way...
ETM Podcast Episode 10 – Bruce Paix & Andrew Perry – Haemorrhage control in trauma
In this episode Andrew Perry interviews Bruce Paix, a very experienced pre-hospital/retrieval (and military) Anaesthetist and trauma expert about haemorrhage control in trauma. This is a great episode with some real pearls. Bruce challenges the traditional teaching...
Epistaxis – Definitive ED Management
This is not specifically a post related to trauma, however we wanted to share this video, as epistaxis is a very common presenting problem in the ED. https://www.youtube.com/watch?v=Vo7VHObXfkg&feature=youtu.be Key points to remember about traumatic epistaxis are:...
ETM Podcast Episode 9 – Ian Civil – Blunt Cerebrovascular Injury
In this episode we talk to Professor Ian Civil, Vascular Surgeon and Director of Trauma at Auckland City Hospital about the incidence, clinical features, investigation and management of blunt cerebrovascular (carotid and vertebral artery) injury. This is a relatively...