UK Trauma triage tools are built using data from high-energy trauma in young patients. However, the majority of trauma patients are older adults who suffer different injury patterns which are typically 'low-energy' mechanisms. This podcasts looks into some of the difficulties this poses and tries to offer some ways of working around these difficulties.

Caroline Leech joins the podcast to discuss important considerations in management of trauma in the pregnant patient. Covering physiology, changes to normal management and obstetric injuries.

Dr Matt Warner, consultant in EM and PHEM, BASMU medical director, Derriford Hospital Plymouth | Physiology alterations | Comorbidities | Intubation and ventilation considerations | Pharmacology

The Gas Induction (presented by ThePTN) presents the anaesthetics machine.

The Gas Induction (presented by ThePTN) presents monitoring during anaesthesia.

The Gas Induction (presented by ThePTN) presents total intravenous anaesthesia.

David Ashton-Clearly is the guest on the podcast this episode as he introduces Retrieve: the critical care service for the South West. Discussions centre on the clinical need to standardise transfer services and the roles played by referring, transferring and receiving teams.

Prof Ian Roberts is a Professor of Epidemiology and Public Health at the London School of Hygeine & Tropical Medicine. Internationally renowned for his work on TXA, Prof Roberts was lead investigator in the CRASH2 and heavily involved in the WOMAN and CRASH3 trials. Tim discussed the history and current evidence with the use of TXA in trauma.

Guest: Dr Matt Wiles, consultant Anaesthetist and Intensivisty working in Sheffield Teaching Hospitals NHS Trust discusses the use of vasopressors in the setting of traumatic hypotension. Topics include: is traumatic hypotension is purely hypovolaemia? choice of vasopressors, how to use and end points to guide us.

Dr Clare Bosanko EM & PHEM working with Devon Air Ambulance and Devon BASICS, experience in paediatric retrieval and transfer | Epidemiology and incidence of paediatric major trauma | alterations to adult protocols