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 92 - The Teaching Course Copenhagen Day 1
Ep 91 - Critical Appraisal Nugget 7: Relative risk, Absolute risk and NNT in 5 minutes
Ep 90 - Top Ten Trauma Papers 2016
Ep 89 - March 2017 Round Up
Ep 88 - ED transfers. Patient, Preparation and People.
Ep 87 - Critical Appraisal Nugget 6: Retrospective and Prospective studies
Ep 86 - Critical Appraisal Nugget 5: Journal Clubs
Ep 85 - Top tips for chest drains.
Ep 84 - Critical Appraisal Nugget 4: Intention to Treat
Ep 83 - The Teaching Course in NYC Round Up
Ep 82 - Apparent Life Threatening Events in Babies
Ep 81 - Difficult Conversations with Children in Critical Care with Liz Crowe
Ep 80 - EuSEM Half Time Talk
Ep 79 - Critical Appraisal Nugget: Selection Bias
Ep 78 - Intro to EM: Upper GI bleeding
Ep 77 - Critical Appraisal Nugget 2: Blinding and Masking in clinical trials
Ep 76 - Communication workshop with Liz Crowe (SMACC DUB)
Ep 75 - Critical Appraisal Nugget 1: Randomisation
Ep 74 - ED Handover in the resus room: A panel discussion at SMACC DUB. (Part 2)
Ep 73 - ED Handover in the resus room: A panel discussion at SMACC DUB. (Part 1)
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