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Pre-hospital blood?
Trauma transfusion protocols have changed dramatically in recent years with the early use of blood products a significant change from the bad old ATLS days of 2 L of crystalloid, but what of the patient in the prehospital environment? This month we publish a paper from Brisbane, Australia that examines the feasibility of prehospital blood use for ground based response services which suggests that it is feasible and practical for ground response teams.
Lost in translation
Medical publishing is dominated by the English language with the majority of journals and articles possessing an anglophile voice, but this may present problems when research findings are translated into local practice. Jobe et al in Belgium identified difficulties in the translation of English triage scales into French. This is an interesting perspective and a lesson to all who wish to translate research findings across populations with a different language base. The findings on their ELISA designed scale demonstrate an association between triage category and resource use, but does it better than translated methods? I'm not sure though the question …