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Episode 14: Thoracotomy

PHEM Cast

Tarney et al.Outcomes following military traumatic cardiorespiratory arrest: A prospective observational study. pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out.

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Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Czech Military resuscitation kit, 1969, mfr.

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. Khoshdel, A.

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Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

Trimble, BVMs] Many physicians of this era had experience of WWII and Korean War military medicine; they were joined by younger men who used GI Bill benefits to enter medicine, and then honed their skills in Vietnam. Milestones of Modern Progress in Emergency Care: WWII and Korean War military medical experience and progress.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. 1955 **The advancement of resuscitation within field military medicine. Martin, Lawrence, M.D. Copass, M.

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The Nose: the other route to the lungs

Advanced Emergency Nursing from AENJ

They also proved that only expired air resuscitation guaranteed sufficient inflation volumes; that exhaled air was a suitable resuscitating gas; and that the operator would have continuous feedback from each breath. Their focus was on developing a refined technique suitable for mass usage by the military who funded them and by the lay public.