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 54 - A tribute to John Hinds
Ep 53 - Day 2 and 3 Round Up (SMACCUS)
Ep 52 - Managing grief in the ED with Liz Crowe
Ep 51 - Day One Round Up (SMACCUS)
Ep 50 - All in a day's work (SMACC 2015)
Ep 49 - SMACC Workshops Review and Pearls
Ep 48 - Intro to EM: The patient with back pain.
Ep 47 - Barbra Backus on Risk scores in Acute Coronary syndromes
Ep 46 - Intro to EM: The patient with asthma
Ep 45 - Top 10 trauma papers 2014-2015.
Ep 44 - Tim Draycott on Obstetric Trauma (LTC 2014)
Ep 43 - APLS 2015 updates for the management of the serious injured child
Ep 42 - Paediatric Major Trauma with Ross Fisher (LTC 2014)
Ep 41 - Is trauma an elite sport? with Tom Evens (LTC 2014)
Ep 40 - Opiate overdose in the ED
Ep 39 - Prof. Tim Harris on Shock Assessment (LTC 2014)
Ep 38 - New (or are they really new) Oral Anticoagulants and the Emergency Physician PART 2
Ep 37 - Karim Brohi at LTC (LTC 2014)
Ep 36 - The GoodSAM app with Mark Wilson (LTC 2014)
Ep 35 - New (or are they really new) Oral Anticoagulants and the Emergency Physician PART 1
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