The age of patients with TBI is increasing, especially in high income countries, and the median age of patients admitted to the ICU has doubled over the last three decades. Age is clearly a strong outcome predictor in TBI. However, the perception of a universally poor outcome has sometimes led to therapeutic nihilism and less aggressive treatment for older patients. The bleak outcomes that result from this approach reinforce self-fulfilling prophecies of poor prognosis and current prejudices. However, uniform nihilism is unjustified: when older patients are treated in a timely and appropriate manner, favourable outcomes can be achieved in a substantial proportion of patients. However, the high burden of prior comorbidity, pre-injury therapies (such as anticoagulant and antiplatelet therapy), and reduced physiological reserve, not only affect outcome, but modulate physiology and host response, and hence demand changes in management strategies.
Not all Brains are the Same by David Menon
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Hardcore EM: EBM – Papers of the year
Phoebe Adams, , The Talks DASsmacc, Hardcore EM, 0
Hardcore EM: EBM – Papers of the year by Justin Morgenstern
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SMACCForce: Never too sick to be retrieved
Phoebe Adams, , SMACCForce 2017, The Talks DASsmacc, Retreival critical advenaced prehospital care ECMO iNO, 0
A short talk on retreival medicine. There are still patients out there where someone without insight determine that the...
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How to Fail… Part Two by Martin Bromiley
Phoebe Adams, , The Talks DASsmacc, Failure, 0
Failure is something even the very best regularly experience, in safety critical roles that failure can lead to death...
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SMACCForce: Bringing Lessons from MERT back home
Phoebe Adams, , The Talks DASsmacc, MERT, smaccFORCE, 0
Bringing Lessons from MERT back home by Claire Park
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SMACCForce: Bariatric Panel Discussion
Phoebe Adams, , 2017, SMACCForce 2017, The Talks DASsmacc, Bariatric, 0
SMACCForce: Bariatric Panel Discussion with Mark Forrest, Jason Van Der Velde, Phil Keating, Cameron O’Leary
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SonoBYTE: Mitral Valve Magic by James Rippey
Phoebe Adams, , The Talks DASsmacc, Mitral Valve, SonoBYTE, Ultrasound, 0
The appearance of high quality hand held ultrasound machines mean we will all have imaging available at our finger...
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SonoBYTE: Ultrasound in Extreme Environments
Phoebe Adams, , 2017, The Talks DASsmacc, adventure, Altitude, Antarctica, Cold, extreme, HAPE, ICE, Mountains, Ultrasound, wilderness, 0
South pole…North pole, hot…cold, on earth…in space, below the sea…on Mount Everest, alone and far, far away. Ultrasound will...
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Finding the Needle in the Haystack: Paediatric Cardiac Disease by Michele Domico
Phoebe Adams, , The Talks DASsmacc, Paediatric Cardiac Disease, 0
There are several pediatric cardiac disease processes that get misdiagnosed because they present with other symptoms. No child comes...