Journal Club#4: arterial lines, oxygen and fibrinogen

In this Trauma-ing Journal Club episode, we break down three timely studies shaping trauma care at the bedside and in the bay. First, we look at Perera et al.’s prehospital comparison of non-invasive versus arterial blood pressure monitoring, where NIBP consistently missed the mark in both shock and hypertension—who then should get art lines and when? We then dive into the TRAUMOX2 randomized trial, which challenges our instinct to “turn the oxygen up,” showing no mortality difference between restrictive and liberal oxygen strategies but hinting at fewer pulmonary complications with moderate targets. Finally, we unpack Burt et al.’s meta-analysis on early fibrinogen replacement in traumatic haemorrhage, finding no clear mortality or transfusion benefit despite its widespread use and highlighting the need for stronger evidence in the sickest, most coagulopathic patients.Go to www.trauma-ing.com for more FOAM trauma stuff