#slo5

New critical review of Systematic Review paper on large vs small chest drains in haemothorax. How low can you go?? Probably smaller than you think for many stable patients #FOAMed @stemlyns

Background We see a lot of traumatic haemothoraces here in Virchester. It’s a range of patients with both blunt and penetrating injury and the standard practice for managing these patients has been the insertion of a large bore tube thoracostomy to drain the blood and relieve any complications. However, there’s ongoing debate about the optimal tube size, and we’ve covered this at St Emlyn’s…

The FORCE studyForearm Fracture Recovery in Children Evaluation critical appraisal shows bandage or splint work for the management of buckle fractures of the wrist #FOAMed #FOAMPed #stemlyns @mrdanperry @periuktweep

As someone who works across both PEM and adult EM it’s interesting to reflect on how the workload varies. These days my adult work is heavily skewed to complex majors and resus patients. This is largely the result of a co-located Urgent Care Centre and Minor Injuries unit which sees a lot of the more ambulatory patients. Those areas of our department certainly take a workload out of the main ED…