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Showing Tag: "trauma" (Show all posts)

Renal tract trauma

Posted by Matthew Mac Partlin on Thursday, August 10, 2017, In : Clinical topics 

You've picked up a competitor from the track following a collision that occurred on the exit of a high speed turn. He's now at the medical centre and has begun to complain of flank pain. He's certainly pretty tender over his right lower ribs posteriorly and on further examinations there's a little bit of blood where wee usually comes out.

Eeek! He might have blunt renal tract trauma.

Luckily, you've just been to this website and read through the material below. Having taken care of the core res...

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Australian Resuscitation Council Guidelines 2016 update

Posted by Matthew Mac Partlin on Friday, February 26, 2016, In : Clinical topics 


The Australian Resuscitation Council, in co-operation with the New Zealand Resuscitation Council have at last published their local take on the recently released ILCOR 2015 guideline update for adult, paediatric and neonatal basic and advanced resuscitation. Released in mid January, the combined Australian and New Zealand update makes recommendations for how resuscitation should be conducted here based on the evidence and guidelines issued by the central body, ILCOR.

You can read my summary of...

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Cases from the races at SMACC GOLD

Posted by Matthew Mac Partlin on Thursday, August 7, 2014, In : Conferences, courses & events 
Back in March I posted a podcast that I recorded at the smaccGOLD conference with Northern Irish anaesthetist and motorbike race doc, John Hinds, and Aussie anaesthetist and motorsport doc, Brent May. The talk that John had been invited to SMACC to give has been released on the other site that I'm involved with, the Intensive Care Network. The pro-con debate between John and Brent on the usefulness or not of cricoid pressure in airway management is also available on the ICN site.



John's "Cases...
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C-spine collar glory days

Posted by Matthew Mac Partlin on Wednesday, May 21, 2014, In : Clinical topics 


Sorry about this. I had planned to put up a post on the devolving role of the semi-rigid cervical spine collar two weeks ago. However, the more I read about it, the more I wrote and I ended up with a five page document. Waaay too long for a blog post!

So what I'm going to do instead is submit the original piece to a journal as an opinion piece and see if I can get it published. If that happens I'll put up a link to the article. In the meantime, as it may take some time to get through the edito...

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Time for a Registry

Posted by Matthew Mac Partlin on Sunday, January 19, 2014, In : Musings and opinion 
Posted by Matthew Mac Partlin on Friday, October 25, 2013



It’s hard to know that a problem exists if you don’t look for it.

Sometimes you’ll find it because the problem finds you, usually through an adverse outcome. But wouldn’t it be better to know of  a potential problem’s existence beforehand and, even better, put something in place to mitigate it. So it makes sense to look out for problems before they cause trouble; that’s just basic survival.

And it is not without ...

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Compensation for Chronic Traumatic Encephalopathy

Posted by Matthew Mac Partlin on Sunday, January 19, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Wednesday, September 4, 2013

Concussion in sports and its associated complications have bubbled to the surface of public media again recently. And there may be wider implications to the latest development, which relates to the controversial entity known as Chronic Traumatic Encephalopathy, or CTE.

Competitors who suffer repeated concussion events are considered by many experts to be at risk of developing cognitive, behavioural, mood and somatic d...
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The truth about Permissive Hypotension in Trauma

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Monday, September 10, 2012

Trauma is a diaphenous beast, simultaneously simple and complex. The priciples that underpin it are apparently straight-forward enough and yet some of the concepts and management strategies generate intense controversy and debate. If you read much trauma literature, there are a couple of names that recur routinely; one of those is London-based Trauma and Vascular surgeon, Dr. Karim Brohi, who is the driving force behind the Trauma.org...
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Clinical logistics: A key pillar for efficient provision of acute care

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Monday, September 10, 2012

One of the many nice things about working as a medic at motorsports events, apart from the cars, the racing and the atmosphere, is the chance to work alongside a focused group who share the same goals and work co-operatively to a purpose. Everyone brings something to the playing field and a lot of traditional barriers come down. This probably explains in part why managing a trauma victim in a hazardous, resource-limited, potentially h...
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Trauma coagulopathy & Head and Spinal injury prediction

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Wednesday, August 1, 2012

If you keep an eye on some of the great critical care blog sites, at some point you will have come accross Cliff Reid's Resus M.E. site. Recently he has put up 2 great posts that should be of interest to all of us who practice medicine and rescue in motor sports.

The first is a presentation given by HEMS doctor, Pete Sherren, on the bleeding trauma patient. He outlines an illustrative pre-hospital case and follows through to the ICU ad...
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Continuing after concussion

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Thursday, April 26, 2012

I caught up with the IRC Series recently and watched the Circuit of Ireland event on wrcforeva's YouTube channel. If you watch "IRC 2012 Circuit of Ireland - Day 2 Highlights" at about 17:54 on the timeline, Andreas Mikkelsen has a high speed side impact with a haybale barrier on the short Lisburn stage.



The commentator states that Mikkelsen lost 40 seconds on the stage and complained of "dizziness". It is suggested that he sustained a ...
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Fluid type in volume resuscitation

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Friday, March 9, 2012

The European Society of Intensive Care Medicine recently issued a consensus statement on volume therapy in critically ill patients , in which they make 10 recommendations in all, based on the GRADE system. Of interest to the motorsport medical community is their recommendations on choice of fluid for trauma, traumatic brain injury and burns.

Recommendation 4 states that albumin and synthetic colloids (e.g. gelofusin, hydroxyethyl starch) s...
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The value add of hard c-spine collars

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics 
Posted by Matthew Mac Partlin on Monday, February 27, 2012

Courtesy of Cliff Reid's Resus.ME blog, here's an interesting article (Emerg Med J. 2012 Feb;29(2):104-7) that questions the added value of applying a hard c-spine collar to a trauma victim who is already secured on a spine board with head blocks and strapping. Balanced against the apparent lack of benefit is the potential for harm due to a greater limitation of mouth opening while a hard collar is in situ; though conventional practice...
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