Trauma and Emergency Medicine
The Trauma and Emergency Medicine section is led by Kevin Roedl.
TEM News
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Resources
Education
Webinars and Podcasts
Webinars
– Critical Care in the Emergency Department
– Dual Sequence Defibrillation, is it ready for prime time?
– AKI & Trauma
– ALIVE Solidarity Webinar : Triage to ICU Admission in times of Mass Casualty
– ALIVE Solidarity Management of traumatic war injuries – webinar 1
Podcast
– Artesunate treatment in severely injured patients with traumatic haemorrhage
Free webinars and podcasts are available for members & non members on LIVES-STREAM.
Use your ESICM credentials or create an account
Research
Projects
PneumoINSPIRE
The aim of this project is to perform an international multicentre prospective observational cohort study of nosocomial pneumonia in intensive care units (ICUs) worldwide in order to provide up-to-date and comprehensive descriptive data on the diagnosis, microbiology, time course of resolution, management and outcomes in a global ICU population.
Secondary objective: Evaluate nosocomial pneumonia in specific subgroups of critically ill patients (such as, chronic obstructive pulmonary disease [COPD], the elderly, and trauma patients).
MOnIToR
Monitoring Organ Donors to Improve Transplantation Results. Will protocol guided resuscitation of brain dead organ donors using Pulse Pressure Variation (PPV) increase the number of organs transplanted per donor?
Publications:
- Monitoring Organ Donors to Improve Transplantation Results (MOnIToR) trial methodology
- Protocolized fluid therapy in brain-dead donors: the multicenter randomized MOnIToR trial
RADAR
Role of Active Deresuscitation After Resuscitation (RADAR). Deresuscitation:minimisation of fluid administration, together with diuretics and perhaps ultrafiltration.
This survey aimed to characterise current beliefs and practice with regard to deresuscitation, the use of diuretics and/or renal replacement therapy to remove accumulated fluid in stable critically ill patients.
Preliminary resutls: Characterisation of fluid balance over time: preliminary results from the Role of Active Deresuscitation After Resuscitation (RADAR) study.
Surveys
Etrauss
European Traumatic Shock Survey aimed to describe current critical care practices in the initial management of patients with traumatic haemorrhagic shock in Europe and compare these practices with contemporary guidelines.
Burns
Initial fluid management and use of vasopressors in adult severely burned patients: An European survey
This international survey focuses on the current practices in fluid management and the use of vasopressors for adult severely burned patients.
Guidelines and consensus statement
2025
– Nolan, J.P., Sandroni, C., Cariou, A. et al. European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2025: post-resuscitation care. Intensive Care Med 51, 2213–2288 (2025).
– Chiara Robba, Edoardo Picetti, Sebastián Vásquez-García et al. The Brussels consensus for non-invasive ICP monitoring when invasive systems are not available in the care of TBI patients (the B-ICONIC consensus, recommendations, and management algorithm). Intensive Care Med, 2025 Jan;51(1):4-20. doi: 10.1007/s00134-024-07756-2. Epub 2025 Jan 23.
2023
– Rossaint, R., Afshari, A., Bouillon, B. et al. The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Crit Care 27, 80 (2023).
Relevant Literature
Asehnoune, K., Balogh, Z., Citerio, G. et al. The research agenda for trauma critical care. Intensive Care Med 43, 1340–1351 (2017).
Nolan, J.P., Berg, R.A., Bernard, S. et al. Intensive care medicine research agenda on cardiac arrest. Intensive Care Med 43, 1282–1293 (2017).
Ji C, Lall R, Quinn T, PARAMEDIC trial Collaborators et al. Post-admission outcomes of participants in the PARAMEDIC trial: A cluster randomised trial of mechanical or manual chest compressions. Resuscitation. 2017 Sep;118:82-88. doi: 10.1016/j.resuscitation.2017.06.026. Epub 2017 Jul 5. PMID: 28689046.
Nolan, J.P., Soar, J., Cariou, A. et al. European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care. Intensive Care Med 41, 2039–2056 (2015).
Rossaint, R., Bouillon, B., Cerny, V. et al. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Crit Care 20, 100 (2016).
Relevant resources on Ebola
Ebola Virus Disease (EVD), also known as Ebola haemorrhagic fever, is a severe illness with a high mortality rate, particularly in affected patients who are untreated or have delayed treatment. Ebola is transmitted by direct contact with blood, body fluids and tissues of infected animals or people and has an incubation period of 2 – 21 days.
ESICM & Ebola
The European Society of Intensive Care Medicine continues to closely monitor the 2014/15 Ebola outbreak and has prepared several initiatives and resources to help intensive care and emergency workers to prepare for and manage EVD. ESICM collaborated on this survey: Preparedness for admission of patients with suspected Ebola virus disease in European hospitals: a survey, August-September 2014 (12/2014). For more information on PREPARE – Platform foR European Preparedness Against (Re) emerging Epidemics research centring on EVD, visit the website.
VHF – Ebola Registry
There are indications that patients suffering from Ebola in western countries have a lower mortality rate, but since we currently lack information on the evolution of Ebola outside of Africa, we do not know what occurs when Ebola patients become dependent on organ support.
In order to better characterise these severe forms of the virus, the ESICM Trials Group have set up a VHF – Ebola Registry. Our aim is to better understand the most useful treatments and potential futility frontiers within this difficult disease. Centres who have data on patients who have been diagnosed with Ebola and treated in their ICU are welcome to register through the link here. If data collected in this registry is published, all contributors will be listed in the publication.
For further information, please contact: ebola@esicm.org
Videos
EBOLA: a personal experience
icTV Interview with Mitchell Levy
Mitchell Levy sits down with icTV to share his experience, as a clinician – and a father faced with the unimaginable dilemma of dealing with having his son stricken with the ebola virus disease during the 2014 ebola outbreak in Western Africa.
Article Reviews
Therapeutic Hypothermia: Survival After In-Hospital Cardiac Arrest
Delayed awakening after cardiac arrest
Nurses versus physician-led interhospital critical care transport
Rapid response teams implementation to reduce hospital mortality
Chest Compression during CPR: Do ventilation interruptions really affect outcome?