Top 10 trauma 2014 15
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Top 10 trauma papers from Trauma Care UK conference 2015
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Top 10 trauma 2014 15
- 5. 10
- 10. Yes or No?
- 11. 9
- 15. Gp 1. 0.3mg/Kg Etomidate + 1.5mg/Kg Suxamethonium Gp2a. 3mcg/Kg Fentanyl + 2mg/Kg Ketamine + 1mg/Kg Rocuronium Gp2b. 1mcg/Kg Fentanyl + 1mg/Kg Ketamine + 1mg/Kg Rocuronium
- 18. 8
- 21. 10 Trauma Centres Patients surviving >30 mins and who received blood 966 patients included 23% received major transfusion
- 24. 7
- 27. Moderate and severe brain injury GCS 4-12 Within 4 hours of injury Infusion of progesterone for 96 hours
- 30. 6
- 35. 5
- 40. 4
- 46. 3
- 48. e
- 49. Case courtesy of Dr Frank Gaillard, radiopaedia.org 66.6% 6.6%
- 50. Case courtesy of Dr Frank Gaillard, radiopaedia.org 29.7% 54.3%
- 51. 2
- 54. 2010-2012* 385 patients on ICU 160 ‘shock’ patients (65% given TXA) 254 ‘non shock’ patients (30% given TXA)
- 56. 1
- 63. Be (very) selective in blunt thoracotomy Use Ket/Roc/Fent for trauma RSI You’re rubbish at determining need for MHPs Don’t make head injuries sexy DSI you’re combative hypoxic patients REBOA may not be all that it seems RCTs in pre-hospital care are tricky Don’t give up on the dilated head injury TXA benefits the sickest patients Use 1:1:1 blood, plasma, platelets in trauma
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- Kaplan-Meier Failure Curves for Mortality at 24 Hours and 30 Days The colored areas indicate 95% confidence bands, which were calculated using the Hall-Wellner method. The Hall-Wellner bands extend to the last event (death) in each group. For 24-hour mortality, the Cox proportional hazards regression model, adjusted for site as a random effect, produced a hazard ratio (HR) of 0.72 (95% CI, 0.49-1.07). There were no patients lost to follow-up during the first 24 hours from randomization. For 30-day mortality, the Cox proportional hazards regression model, adjusted for site as a random effect, produced an HR of 0.83 (95% CI, 0.61-1.12). Between 24 hours and 30 days, 4 patients were lost to follow-up and were censored when they withdrew consent or were last known to be alive (3 in the 1:1:1 group and 1 in the 1:1:2 group).
- Kaplan-Meier Failure Curves for Mortality at 24 Hours and 30 Days The colored areas indicate 95% confidence bands, which were calculated using the Hall-Wellner method. The Hall-Wellner bands extend to the last event (death) in each group. For 24-hour mortality, the Cox proportional hazards regression model, adjusted for site as a random effect, produced a hazard ratio (HR) of 0.72 (95% CI, 0.49-1.07). There were no patients lost to follow-up during the first 24 hours from randomization. For 30-day mortality, the Cox proportional hazards regression model, adjusted for site as a random effect, produced an HR of 0.83 (95% CI, 0.61-1.12). Between 24 hours and 30 days, 4 patients were lost to follow-up and were censored when they withdrew consent or were last known to be alive (3 in the 1:1:1 group and 1 in the 1:1:2 group).