Trauma with Karim Brohi

Karim is a Professor of Trauma Sciences in the Blizzard
Institute, Barts and the London School of Medicine &
Dentistry, and Consultant Trauma & Vascular Surgeon at Barts
Health NHS Trust. He is also the director of the pan London
trauma system.


In this episode we look at:


Monitoring modalities and diagnostics (the advent of
pre-hospital and in-hospital US, in-hospital CT & MRI) that
have led to an improvement in outcome.

Whether front loading pre-hospital critical care teams with
more interventions had a net positive impact on survival to
discharge.

The benefit of numerical targets for physiology such as blood
pressure in resuscitation or more organic end-points such as
mentation/AVPU or pallor/diaphoresis/respiratory rate are more
useful?

The adverse effects of complex interventional involvement in
pelvic blunt injury (such as REBOA or ECMO) are worth the
investment at point of injury or whether they are better placed
in centres of specialism?

What we can do to prevent penetrating trauma as the upward
trend in penetrating disease continues?

Look at the advances in rehabilitation services Vs impact on
survival to discharge in comparison to pre-hospital, &
surgical intervention?

Some of the more common injury patterns that exist more-so
now compared to when Karim first started as a surgeon.

The recent challenges faced within the Pan London Trauma
Networks.

The advent of Acute Traumatic Coagulopathy (ATC) in the early
2000’s and its consequential impact on survival since.

Where Karim sees the largest gains that can be made in
pre-hospital care?

What Karim looks for potential in other junior
clinicians 

Advice that Karim would pass on to someone starting their
medical career.

Aspects of mindset and approach that have changed in Karim's
practice over the last 10 years 



I hope you enjoy the episode.