Max Marsden
YOU?
Author Swipe
View article: Global variation in patient factors, interventions, and postoperative outcomes for those undergoing trauma laparotomy: an international, prospective, observational cohort study
Global variation in patient factors, interventions, and postoperative outcomes for those undergoing trauma laparotomy: an international, prospective, observational cohort study Open
Royal College of Surgeons Ratanji Dalal Research Fellowship and Engineering and Physical Sciences Research Council.
View article: Theatre etiquette Delphi: the development of a guide on professional conduct and best practices in operating environments
Theatre etiquette Delphi: the development of a guide on professional conduct and best practices in operating environments Open
Introduction The importance of non-technical skills (NTS) to surgical performance and patient safety has been increasingly recognised by surgical teams. Inductions for new surgical team members in theatre often provide insufficient, non-st…
View article: Explainable AI: definition and attributes of a good explanation for health AI
Explainable AI: definition and attributes of a good explanation for health AI Open
Proposals of artificial intelligence (AI) solutions based on more complex and accurate predictive models are becoming ubiquitous across many disciplines. As the complexity of these models increases, there is a tendency for transparency and…
View article: Management and outcomes of rib fractures in the UK: a national service evaluation
Management and outcomes of rib fractures in the UK: a national service evaluation Open
Rib fractures are a common but challenging presentation with global variations in management and outcomes. Rib fractures are often associated with intra-thoracic organ injury and pulmonary complications, even in patients with a good respir…
View article: MOY 1 - The Emergency General Surgeon: what should their future operative role be, and how can an EGS post be more attractive?
MOY 1 - The Emergency General Surgeon: what should their future operative role be, and how can an EGS post be more attractive? Open
Aims Determine the desired future operative role of dedicated Emergency General Surgery (EGS) surgeons in the United Kingdom (UK) and the Republic of Ireland (ROI), and how to improve the attractiveness of an EGS post. Methods A live inter…
View article: Prehospital Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Exsanguinating Subdiaphragmatic Hemorrhage
Prehospital Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Exsanguinating Subdiaphragmatic Hemorrhage Open
Importance Hemorrhage is the most common cause of preventable death after injury. Most deaths occur early, in the prehospital phase of care. Objective To establish whether prehospital zone 1 (supraceliac) partial resuscitative endovascular…
View article: Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study
Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study Open
Introduction Trauma contributes to the greatest loss of disability-adjusted life-years for adolescents and young adults worldwide. In the context of global abdominal trauma, the trauma laparotomy is the most commonly performed operation. V…
View article: Selective aortic arch perfusion: a first-in-human observational cadaveric study
Selective aortic arch perfusion: a first-in-human observational cadaveric study Open
Background Selective aortic arch perfusion (SAAP) is a novel endovascular technique that combines thoracic aortic occlusion with extracorporeal perfusion of the brain and heart. SAAP may have a role in both haemorrhagic shock and in cardia…
View article: Selective Aortic Arch Perfusion: A First-in-Man Report of a Novel Endovascular Resuscitation Modality
Selective Aortic Arch Perfusion: A First-in-Man Report of a Novel Endovascular Resuscitation Modality Open
Background Selective aortic arch perfusion (SAAP) is a novel endovascular technique that combines thoracic aortic occlusion with extracorporeal perfusion of the brain and heart. SAAP may have a role in both haemorrhagic shock and in cardia…
View article: Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study
Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study Open
Background Blood transfusion for bleeding trauma patients is a promising pre-hospital intervention with potential to improve outcomes. However, it is not yet clear which patients may benefit from pre-hospital transfusions. The aim of this …
View article: FTP1.7 Critical decision analysis of pre-hospital major haemorrhage protocol activation
FTP1.7 Critical decision analysis of pre-hospital major haemorrhage protocol activation Open
Aims Major haemorrhage protocol activation (MHPA) facilitates immediate blood product availability and institutional capacity readiness for bleeding trauma patients. MHPA is a difficult decision pre-hospital, where two thirds of MHPAs occu…
View article: FTP1.11 Retroperitoneal injury is associated with anastomotic leak after colonic injury
FTP1.11 Retroperitoneal injury is associated with anastomotic leak after colonic injury Open
Background The aim of this retrospective observational study was to investigate the association between concomitant retroperitoneal injury and colonic repair failure. Operative repair of perforating colonic injury should ideally maintain b…
View article: FTP1.13 Improving the use of chest drains in trauma - Small but perfectly formed
FTP1.13 Improving the use of chest drains in trauma - Small but perfectly formed Open
Aims The Western Trauma Association (WTA) advocates using small-bore chest drains (e.g. 14Fr) in haemodynamically normal trauma patients for management of small Haemothoraxes (HTX) or Pneumothoraxes (PTX). This quality improvement project …
View article: Diagnostic accuracy of clinical examination to identify life- and limb-threatening injuries in trauma patients
Diagnostic accuracy of clinical examination to identify life- and limb-threatening injuries in trauma patients Open
Background Timely and accurate identification of life- and limb-threatening injuries (LLTIs) is a fundamental objective of trauma care that directly informs triage and treatment decisions. However, the diagnostic accuracy of clinical exami…
View article: Trauma emergency thoracotomy for resuscitation in shock—a multi-centre evaluation of current UK practice of pre-hospital and emergency department resuscitative thoracotomy in trauma
Trauma emergency thoracotomy for resuscitation in shock—a multi-centre evaluation of current UK practice of pre-hospital and emergency department resuscitative thoracotomy in trauma Open
Background Resuscitative thoracotomy (RT) in traumatic cardiac arrest, in particular for penetrating trauma features within several national guidelines. However, evidence surrounding its practice is poor, consisting of predominantly small-…
View article: TU8.12 Group and Screen for Laparoscopic Appendicectomies: Is It Necessary?
TU8.12 Group and Screen for Laparoscopic Appendicectomies: Is It Necessary? Open
Background Blood transfusion is rarely required in laparoscopic appendicectomies. The incidence of major vessel injury is 0.04%, yet many trusts require two valid G+S samples prior to the operation. A retrospective review was conducted to …
View article: Early Identification of Trauma-induced Coagulopathy: Development and Validation of a Multivariable Risk Prediction Model.
Early Identification of Trauma-induced Coagulopathy: Development and Validation of a Multivariable Risk Prediction Model. Open
A BN (http://www.traumamodels.com) can accurately predict the risk of TIC in an individual patient from standard admission clinical variables. This information may support early, accurate, and efficient activation of hemostatic resuscitati…
View article: SP9.1.7 Emergency Laparotomy for Trauma in the United Kingdom and Ireland: a Prospective Multicentre Study
SP9.1.7 Emergency Laparotomy for Trauma in the United Kingdom and Ireland: a Prospective Multicentre Study Open
Aims Trauma patients requiring abdominal surgery have significant morbidity and mortality, but are not included in existing national audits of emergency laparotomy. The aim of this study was to examine processes of care and outcomes among …
View article: 140 Killed in Action (KIA): an analysis of military personnel who died of their injuries before reaching a definitive medical treatment facility in Afghanistan (2004–2014)
140 Killed in Action (KIA): an analysis of military personnel who died of their injuries before reaching a definitive medical treatment facility in Afghanistan (2004–2014) Open
Aims/Objectives/Background Most fatalities from trauma, in civilian and military settings, die before reaching a hospital. However, no previous studies have comprehensively examined this phase of care. The aim of this study was to define t…
View article: Killed in action (KIA): an analysis of military personnel who died of their injuries before reaching a definitive medical treatment facility in Afghanistan (2004–2014)
Killed in action (KIA): an analysis of military personnel who died of their injuries before reaching a definitive medical treatment facility in Afghanistan (2004–2014) Open
Introduction The majority of combat deaths occur before arrival at a medical treatment facility but no previous studies have comprehensively examined this phase of care. Methods The UK Joint Theatre Trauma Registry was used to identify all…
View article: Early Identification of Trauma-induced Coagulopathy
Early Identification of Trauma-induced Coagulopathy Open
Objective: The aim of this study was to develop and validate a risk prediction tool for trauma-induced coagulopathy (TIC), to support early therapeutic decision-making. Background: TIC exacerbates hemorrhage and is associated with higher m…
View article: The Bouffant Hat Debate and the Illusion of Quality Improvement
The Bouffant Hat Debate and the Illusion of Quality Improvement Open
This is the accepted version of the pee-reviewed article as published in Annals of Surgery. The final version of record may be found at: Naumann, David N. PhD∗; Marsden, Max E. R. MRCS†; Brandt, Mary L. MD‡; Bowley, Douglas M. FRCS§ The Bo…
View article: Prehospital tranexamic acid shortens the interval to administration by half in Major Trauma Networks: a service evaluation
Prehospital tranexamic acid shortens the interval to administration by half in Major Trauma Networks: a service evaluation Open
Introduction Tranexamic acid (TXA) reduces bleeding and mortality. Recent trials have demonstrated improved survival with shorter intervals to TXA administration. The aims of this service evaluation were to assess the interval from injury …