TY - JOUR T1 - Sophia JF - Emergency Medicine Journal JO - Emerg Med J SP - 842 LP - 842 DO - 10.1136/emj.2009.085308 VL - 26 IS - 11 A2 - , Y1 - 2009/11/01 UR - http://emj.bmj.com/content/26/11/842.abstract N2 - It has not escaped Sophia’s notice that alcohol misuse is currently a hot topic in the media and a continued burden on Emergency Departments. A Cochrane review investigated interventions that might reduce alcohol misuse in college and university students. It included 22 controlled trials with a total of 7275 students. The systematic review concludes that alcohol misuse appeared to be reduced by individual face-to-face sessions or interventions using computer technology (Cochrane Review DOI:10.1002/14651858.CD006748.pub2). The management of massive haemorrhage produces much consternation among emergency practitioners. Perhaps this is not surprising, given that haemorrhage is the cause of 40% of trauma deaths worldwide. In a leading article in the British Journal of Surgery, Professor Karim Brohi explores the concepts of trauma-induced coagulopathy and acute traumatic coagulopathy. Well worth a read (Br J Surg 2009;96:963–4). The Parkland formula is probably the most commonly used tool for fluid resuscitation of burns victims. Although the importance of adequate tissue perfusion is well recognised, there appears to be a tendency for patients to receive far … ER -