Max Marsden

@BehindTheKnife After years of listening to Behind the Knife—it even helped me pass my FRCS!—it was brilliant to finally contribute. Dive into London's trauma system management here: [open.spotify.com/episode/59r58U…]

Thanks to @BehindTheKnife For the opportunity and to The awesome co-hosts, Prash, Roisin and Mr Aylwin

Juicy new CLINICAL CHALLENGES IN TRAUMA SURGERY ➡️ Stabbed in the Back - Decision Making in a Penetrating Junctional Vascular Injury🩸 Join our elite @LonTraumaSchool team @maxmarsden83 @cjaylwin for an engaging, high-yield conversation. 🎧behindtheknife.org/podcast/clinic…🎧

🚨The impact of trauma is massive and goes beyond mortality🚨 Only around half of patients went home within 30 days following the trauma laparotomy to the same level of care they had before their injury 🩼 @AmoskoJoachim @AbdulahiSaidHa1 @EderCaceres5 @MaxMarsden83 @carlosnunog

@bonedocnavy @OxboneOrg Brilliant news well done. I hope you mentioned at your final ARCP the ability to talk a stressed general surgeon through an axillary artery repair?

Outcome 6 and CCT achieved - thank you @OxboneOrg and all the amazing Thames Valley Regional Consultant mentors that have taken me through training for one hell of a decade!!! Onwards to Fellowship in September 💪🏼

PENETRATING LUNG 🫁 INJURY?! Rule of 👍🏼 ➡️ 1500 cc bloody drainage @ time of chest tube placement or > 200 cc/hr 🟰 OR. In reality, many factors go into this decision 🧠 , including stability, transfusion requirements/trend 📈, concomitant injuries, etc. ✔️ Quickest + safest approach for a TRAUMA patient is an anterolateral thoracotomy. ✔️ Small injuries can often be managed with suture repair alone. ✔️ Treat peripheral injuries with a non-anatomic stapled resection. ✔️ A pulmonary tractotomy can be used to expose deep injuries, allowing for repair. ✔️ Central 🫁 injuries are tough. Control the hilum with fingers, a clamp, or in extreme cases, hilar twist. ✔️ Total pneumonectomy is a last resort ➡️ mortality is ~50% ✔️ Repair the diaphragm primarily ➡️ use permanent suture & whatever technique works best. Be sure to watch the high-yield @BehindTheKnife video in our Trauma Atlas: app.behindtheknife.org/course-details…

I wasn’t there, but know that the role played by friends. colleagues, and people we don’t know, on 7/7 was extrordimary. There are amazing people in this world, with acts of kindness always outglowing the hate. 🙏🏼 for everyone who was affected, and who played a part to help.

A woman in West Virginia snapped a one-in-a-million shot of a tree being struck by lightning. Photographed by Donnie Dania.

@karimbrohi You didn’t just build a trauma system you set off a ripple effect that reshaped trauma care across the globe. Thousands of lives saved thousands of learners taught! A model studied and copied. Legends don’t step down. They leave shockwaves. Respect, Karim 👊

@JuliaColemanMD @callcura @theTHORnetwork So good to see you and be part of this. Really enjoyed it. Great meeting!

Awesome panel on the role of AI in decision making in trauma patients, expertly presented by @MaxMarsden83, and @callcura at @theTHORnetwork #THOR2025

An excellent turnout from @LeedsEGS at the @asgbi Gala Dinner last night! Superb location and excellent craic with a ceilidh to top things off! @abppc @josiewalshaw1

Hey, what do you think? IV or IO? This video in our partnership with @DGlaucomflecken summarizes new research comparing initial attempts at intraosseous or intravenous vascular access in adults who had out-of-hospital cardiac arrest. Full trial: nej.md/DrG14

📣📣 > 300 data entries so far for MORF: UK ‼️Not started yet? Hurry up and join us! Email the study team at morf.uk2024@gmail.com to get involved! @karimbrohi @NaTRIC_Research @ceribattle @MaxMarsden83

Our first Trauma session of the day happening 🩸with @MaxMarsden83 our MA Alumni Trauma Lead #MaOncall #masterclass #trauma #FRCS

@ASGBI_MA Thanks very much for the invitation. Brilliant day to be part of. @KateHancorn

Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest - @LDNairamb's experience from 20 years. Amazing effort @ZBPerkins @GreenhalghRob @robbielendrum et al jamanetwork.com/journals/jamas… #HEMS #TCA

Median time from injury to TCA (tamponade) 11 mins, but there is a window to intervene in this system (on scene 20 mins post injury). Survival 52% (tamponade) if RT at point of TCA or within 1 minute!… not a treatment for exsanguination in this cohort jamanetwork.com/journals/jamas…

A quick primer on the new ESVS vascular injury scale. This can be applied to ALL vascular injuries and should provide a general understanding of the approach to these injuries. ESVS grading is 1, 2, 3 or X. 1-3 are grades of wall injury, X is complete occlusion. So.. 🧵

@Paul09587492 @ZBPerkins @robbielendrum Thanks Paul09587492. The article delves into the detail of the UK REBOA trial which demonstrates HARM and discusses alternatives like the AAJT-S: A great concept. Even quoted some excellent exploratory work from a military T&O team…

@MaxMarsden83 @ZBPerkins @robbielendrum But all evidence points now for Reboa increasing mortality!

"There is a golden hour between life and death.” – Dr. R Cowley. In trauma care, time is critical, especially for noncompressible haemorrhage. Our publication explores the role of REBOA in remote damage control resuscitation. journals.lww.com/co-anesthesiol…