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 34 - Intro to EM: Problems in Early Pregnancy
Ep 33 - Impact Brain Apnoea with Gareth Davies from London HEMS (LTC 2014)
Ep 32 - The Christmas review podcast 2014
Ep 31 - London Trauma Conference: Day three round up.
Ep 30 - London Trauma Conference: Day two round up.
Ep 29 - London Trauma Conference: Day one round up.
Ep 28 - Iain and Nat preview the amazing London Trauma Conference.
Ep 27 - Intro to EM: The patient with chest pain
Ep 26 - Intro to EM: The ED approach to the child with shortness of breath
Ep 24 - Getting started in Emergency Medicine Research
Ep 23 - Smacc Chicago update
Ep 22 - Button Battery ingestion in children
Ep 21 - Code for Cash and Credibility
Ep 20 - Understanding Troponin Part 3: The NICE guidance.
Ep19 - In Situ and Guerrilla Sim in the ED
Ep 18 - Victoria Brazil on great presentations with St.Emlyn's
Ep 17 - Diffuse Axonal Injury with John Hell
Ep 16 - Intro to EM: The patient with syncope (transient loss of consiousness)
Ep 15 - Understanding Troponin Part 2
Ep 14 - Exeter CEM conference with Adam Reuben
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