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Episode 14: Thoracotomy

PHEM Cast

Joint Position Statement of Nat Assoc EMS Physicians and ACS Committee on Trauma. Tarney et al.Outcomes following military traumatic cardiorespiratory arrest: A prospective observational study. When should we stop resuscitative efforts after blunt traumatic arrest. Injury; 2008 (39): 967-969. J Am Coll Surg; 2003 (1): 106-111.

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UK-REBOA on Trial: Innovative or Over-Inflated?

RebelEM

Military practice guidelines recommend REBOA for profound shock (SBP <90mmHg) 1 and ACEP along with the American College of surgeons recommend REBOA for traumatic life-threatening hemorrhage below the diaphragm in patients with hemorrhagic shock who are unresponsive or transiently responsive to resuscitation. J Spec Oper Med.

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UK-REBOA Trial: Innovative or Over-Inflated?

Critical Care Now

Military practice guidelines, along with ACEP and the American College of Surgeons, recommend REBOA for traumatic life-threatening hemorrhage below the diaphragm in patients with hemorrhagic shock who are unresponsive or transiently responsive to resuscitation. Check out the full post on REBEL EM

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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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Is it Time to Take Another Look at the State of Emergency Care in the U.S.? 

ACEP Now

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. 1 “I remarked that EM was not even a specialty then, and suggested it might be an opportune time for an updated IOM report that examined the achievements and challenges of emergency care in the U.S.,”

EMS 45
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Ballistic Follies

Advanced Emergency Nursing from AENJ

Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.” ET Hostile Fire Environments Murphy’s Law of Combat Operations [includes coarse military humor] Firearms in the Entertainment Industry International Movie Firearms Database Horman, GS.

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Mouth-to-Airway (adjunct)

Advanced Emergency Nursing from AENJ

It is a curious paradox of history that Nerve Gas was the product of agricultural research by the burgeoning chemical industry in Germany in the latter 19 th and early 20 th centuries, and that modern understanding of resuscitation came from WWII military investigations (Edgar A. Training in Ambulance and Emergency Programs McMahon, Martin C.