Understanding Partial REBOA: Benefits and Procedures
Partial REBOA: Evidence and Safety Limits Partial resuscitative endovascular balloon occlusion of the aorta (pREBOA) aims to support proximal pressure while allowing some distal flow. It is a temporary bridge to haemorrhage control, not a substitute for it. A human survival advantage remains unproven. Use requires device-specific training, current instructions and an approved trauma-service protocol. […]
Effective Documentation in Emergency Care
A useful ED note lets the next clinician see what happened, what you considered, how the patient responded, and what happens next. Urgent care comes first; document during care or as soon as practicable afterwards. These prompts combine professional guidance with a practical workflow. Adapt them to local policy and law; US and UK guidance […]
Trauma-Induced Coagulopathy: Understanding the Lethal Triad
Start with the bleeding patient A 36-year-old man arrives intubated after a motorcycle crash: temperature 36 °C, pulse 120/min, BP 70/40 mmHg, distended abdomen and positive FAST. The immediate problem is probable intra-abdominal haemorrhage with profound shock. Activate the major-haemorrhage protocol and mobilise definitive source control. Do not wait for coagulation results or repeat imaging […]