1/🧵 This #Trauma #MorningPaper is a retrospective study of 284 cases of traumatic cardiac arrest (TCA) in Sweden, mostly men with mean age of 38. Are our attempts always futile? @SMHMajorTrauma @nottsurgeon @ShehanHett @karimbrohi @londonsdrcosmo @e1v1m1

sjtrem.biomedcentral.com/articles/10.11… 2/ The study region has no #REBOA or prehospital resus thoracotomy services. 90.1% of TCA were prehospital with 64.8% from blunt injuries. Only 6.7% had shockable rhythm.

29.9% survived to ICU with mean days on ventilator of 3d. Only 10% survived to 30 days (GOS 3 or 4 mostly).

1/🧵 Congratulations to @IIHDrBirmingham @MarkHeadache @DrMollan for their publication. Thanks @aswinchari for flagging this up as a #MorningPaper. #IIH #CSF @neuro_at_ic @e1v1m1 @markhwilson @AhmedToma13 @PaedNeurosurg @Samuel_Jeffery

link.springer.com/article/10.100… 2/ This 9-year prospective observational study included 490 #IIH patients in @uhbtrust with 98% being female (F:M was 53:1) with mean BMI 38, as defined by papilloedema (Frisen grade >0) in at least one eye. 67.1% required multiple hospital visits. 87% were treated medically.

Case study as #MorningPaper to start off the week. 27y cyclist vs car, GCS 15, CSF rhinorrhoea. CT attached. What are the steps of your management plan? What kind of injuries are you seeing? My decision here: Lumbar drain initially for yeh CSF leak, Pneumovax but not antibiotics. Lefort III fracture and mandibular needs surgery so planned to cranialise frontal sinus at the same setting. Consent included fascia lata and calvarial grafts, just in case. 1/🧵