Self-assessment
Single best answer 1 A 24-year-old presents to the emergency department following a stab injury in the right side of the lower chest . His BP is 65/20 mmHg, HR 110…
Pharmacology and clinical use of plasma expanders
Abstract Plasma expanders are colloidal solutions that expand the circulating blood volume more than isotonic crystalloids and are among the most commonly used fluids in critical care and perioperative medicine…
Major incidents
Abstract A major incident is one that causes casualties on a scale beyond the usual capabilities of the emergency and healthcare services usual ability to manage. Major incident planning and…
The metabolic and endocrine response to trauma
Abstract Metabolic and endocrine pathways are central to the body’s compensatory response to trauma. They drive mobilization of energy substrates, volume conservation and haemostasis via activation of the hypothalamic pituitary…
Spinal cord injury
Abstract In the UK, the annual incidence of acute spinal cord injury (SCI) is 19 new cases per million population, contributing to an estimated 50,000 people who are currently living…
Drowning and immersion injury
Abstract Drowning is a frequent cause of accidental deaths and injuries, resulting in a significant but preventable global health problem. It is characterized by respiratory impairment due to submersion of…
Critical care management of patients with severe burns and inhalational injury
Abstract Anaesthetists and critical care physicians involved in emergency care provision must be equipped with the adequate knowledge and skills to accurately assess and manage patients with severe burns. This…
Chest trauma
Abstract This article summarizes major life-threatening injuries in thoracic trauma. It explores the immediate approach to a patient presenting with thoracic trauma including diagnostics and pertinent invasive procedures. This is…
Management of shock in trauma
Abstract Shock is defined as failure of the circulatory system resulting in a level of perfusion to tissues, which is inadequate to meet the oxygen demands of cellular metabolism. Haemorrhagic…
Management of major trauma
Abstract Trauma is one of the leading cause of deaths in those <35 years old in the UK. It also has a significant morbidity burden with a subsequent economic impact….
