1) There seems to be a move to half dose tPA in submassive PEs. This seems to have no impact on mortality but decreases long term complications such as pulmonary hypertension.
2) Posterior dislocations of shoulders can be treated with simple should immobilizer and avoid that gunslinger cast that cant fit in any doorway!
3) Tranfusing GI bleeds seems to cause more harm. A permissive approach had better results.
4) When you compare people on plavix vs warfarin after had injury the plavix group does worse and will likely need hospitalization after initial CT whereas the warfarin group might be able to go home with good follow-up.
5) Concussion management is complex. Make sure you dont send that player back on the field too early. Rest that brain means no computers kids!
6) There are some cool toys coming down the pipe - smaller ultrasounds, telemedicine robots, hemorrhage clamps, gortex treated lab coats... I couldn't believe how big the display area was.
