Publications by authors named "Nick Welch"

Article Synopsis
  • The study looks at a new method to help control heavy bleeding in trauma patients, using a special balloon to block blood flow temporarily.
  • It compares this method with regular care to see which one is better at keeping patients alive after serious injuries.
  • The research involves patients in major hospitals in the UK and checks various health outcomes over time to find out the best approach for treatment.
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Introduction: Missed fractures are the most frequent diagnostic error attributed to clinicians in UK emergency departments and a significant cause of patient morbidity. Recently, advances in computer vision have led to artificial intelligence (AI)-enhanced model developments, which can support clinicians in the detection of fractures. Previous research has shown these models to have promising effects on diagnostic performance, but their impact on the diagnostic accuracy of clinicians in the National Health Service (NHS) setting has not yet been fully evaluated.

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Importance: Bleeding is the most common cause of preventable death after trauma.

Objective: To determine the effectiveness of resuscitative endovascular balloon occlusion of the aorta (REBOA) when used in the emergency department along with standard care vs standard care alone on mortality in trauma patients with exsanguinating hemorrhage.

Design, Setting, And Participants: Pragmatic, bayesian, randomized clinical trial conducted at 16 major trauma centers in the UK.

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