Zero Point survey

The original article explaining how to prepare well and communicate during a resuscitation. The idea is that the case starts before the patient rolls in the department. STEP-UP stands for Self, Team, Environment, Patient, Update, Priorities. A must read

Tension pneumothorax

Tension pneumothorax on your patient? In a cadaveric study, decompression with a 5cm 14G needle was successfully placed in 100% of attempts in the mid axillary line at the fifth intercostal space but in only 58% at the traditional mid clavicular second intercostal position. 

https://pubmed.ncbi.nlm.nih.gov/22071914/

Pigtail for hemothorax

P-CAT trial showing that 14Fr percutaneous catheter (Pigtail) are as effective as 28-32Fr chest tubes to drain hemothorax, no differences in complications and have better patient perceived experience.

Airway management

Airway management in trauma. Who should intubate?

Working in a teaching center and being an emergency physician, my answer to that is the ER physician and residents. But some places might want to break our confidence.

Anyhow, there is unequivocal evidence that ER physician are competent in managing airway in trauma and as per local practices, this might change. You can do it.

Airway managed by emergency physicians or anaesthesiologists in trauma patients: A retrospective cohort analysis of outcomes: https://journals.sagepub.com/doi/pdf/10.1177/1024907920931719

Massive transfusion protocol

Thoracotomy in trauma

ED thoracotomy indications from EAST (Eastern Association for the Surgery of Trauma)

Live EEM2018 ED thorarocotomy demonstration

Algorithms and guidelines

from Western Trauma Association

from EAST(Eastern Association for the Surgery of Trauma)

from the World Health Organization