In the R@TP trauma session, we start off with South African trauma surgeon, Tim Hardcastle, telling us why penetrating injuries aren’t so scary after all (well he would say that wouldn’t he!). Brian Burns elaborates on the role of alcohol, transport and livestock in rural trauma, and the impact of NOACS, DOACS or TSOACS on trauma haemorrhage is dissected by trauma surgeon Mary Langcake. Professor Dev Mitra tells us about the role of tranexamic acid in traumatic haemorrhage, and Dr James Winearls describes a rational approach to targeted coagulation management, before trauma surgeon Valerie Malka talks about the thought-provoking topic of holistic trauma care.