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Showing Tag: "trauma" (Show all posts)

Pre-hospital TXA for trauma - The STAAMP Trial

Posted by Matthew Mac Partlin on Tuesday, October 13, 2020, In : Clinical topics

Tranexamic acid (TXA) is an antifibrinolytic medication that displaces plasminogen from the fibrin complex which should result in a more persistent clot. Given that the majority of trauma deaths are due to haemorrhage, this would seem to be a reasonable therapeutic target.

TXA has established use in the management of epistaxis and postpartum haemorrhage (1) . The CRASH-2 (2) and MATTERS (6) trials demonstrated mortality benefit in trauma patients at risk of bleeding by adding TXA to the ...

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...

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...

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...

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 ...

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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