Chris brought us his reflections amnd knowledge from some of his extensive experience as a military EM consultant in two wars. Blast injury could be blunt, penetrating, may involve major haemorrhage: you have to expect any injury possible. It’s worldwide and it’s getting more common.
Blast injury affects every body cavity, but it is the CABC approach that matters, Doing the basics well is still the key. Bleeding points may not be obvious so apply tourniquets wherever stops the bleeding.
Often patients will not arrive in ones or twos but as a whole group affected by an incident, so it is vital we are prepared. The Paediatric Blast Injury Field Manual is a free resource available to download here and is highly recommended.
Chris Hillman is a Consultant in Emergency Medicine and Paediatric Emergency Medicine, working in Southampton. Serving in the Royal Navy since university, he has deployed on Ships, Submarines and with Commando units globally, and with the Army to Afghanistan and Iraq. He is the outgoing Consultant Advisor in Emergency Medicine and Clinical Director Commando Forward Surgical Group.
Ep 230 - Top Twenty Papers of 2023 - Part 2 - Haemorrhage and Cardiac
Ep 229 - Top Twenty Papers of 2023 - Part 1 - Airway
Ep 228 - January 2024 Monthly Round Up - New Year Resolutions, intubating poisoned patients and wellbeing in the ED
Ep 227 - December 2023 Round Up -Major bleeding decison making, E-scooters, AI and advanced resuscitation possibilities
Ep 226 - October and November 2023 Monthly Round Up - Trauma, Resuscitation, Aortic Dissection and Silence
Ep 225 - A deep dive into ECMO with Andy Curry
Ep 224 - September 2023 Monthly Round Up - Top Ten Papers and more
Ep 223 - July and August 2023 Monthly Round Up
Ep 222 - Monthly Round Up June 2023 - Airways, AMAX4, Head Injuries, TXA and more
Ep 221 - Brief Resolved Unexplained Events with Jilly Boden at the PREMIER Conference
Ep 220 - Penetrating Injuries with John O’Neil at the PREMIER Conference
Ep 218 - Non epileptiform seziures with Steve Warriner at the PREMIER Conference
Ep 217 - Weaning the wheezy child with David James at the PREMIER Conference
Ep 216 - April 2023 Monthly Round Up: HALO procedures and Blood Transfusion
Ep 215 - March 2023 Monthly Round Up
Ep 214 - Shock from St Emlyn’s Medical School
Ep 213 - Sensitivity and Specificity (CAN 10)
Ep 212 - February 2023 Monthly Round Up
Ep 211 - Semi structured interviews (CAN 9)
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