The Trauma Pro

DECEMBER 19, 2023

Our hospital blood bank infrastructure isn’t prepared to handle this product yet, for the most part. I think we’ll have to look to our military colleagues to pull this one off! Will this translate into better survival when used in the MTP for trauma? One would think so, but you never really know until you try it.

Military 147

Military Hospitals Resuscitation 147

ETM Course

JUNE 28, 2015

Just over a year ago London HEMS performed the first pre-hospital regtrograde endovascular balloon occlusion of the aorta (REBOA). This is a potentially lifesaving treatment pioneered by the US military 1 for patients with exsanguinating pelvic and lower limb haemorrhage.

Hospitals 52

Hospitals Resuscitation Shock Military 52

Sensible Medicine

FEBRUARY 6, 2024

If applicants are more impressive on paper, but no more impressive in the clinics and hospitals, aren’t we doing something wrong? For medical school, I would randomly select from college graduates who have achieved a minimum MCAT score and succeeded during at least a year of work in food service or the military.

Military 129

Military Free Clinics Documentation/Coding Academics 129

Sensible Medicine

SEPTEMBER 19, 2024

It results in the suffering of millions of children, fewer eligible military personnel (a national security risk), and a heavy financial cost burdening every family and business in America. Trust in hospitals and doctors decreased from 70% to 40%, according to a JAMA study published last month.

Research 145

Research Military Poisoning Burns 145

ACEP Now

NOVEMBER 7, 2024

Despite the broad acceptance of Red Cross certifications by national accrediting bodies, state agencies, and thousands of hospitals and clinics, some medical centers, nursing schools, and community colleges have policies that do not recognize both organizations’ certifications. This makes the material more relevant to health professionals.

Advances Cardiac Life Support (ACLS) 74

Advances Cardiac Life Support (ACLS) Military CPR Basic Life Support 74

RebelEM

MAY 25, 2023

Lancet 2010 [10] >20,000 adult trauma patients with SBP <90mmHg Patients randomized to TXA 1g over 10 min + 1g IV over 8hrs vs Placebo given within 8hrs of injury In-hospital mortality by 28d reduced (14.5% Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality. NEJM 1994. [2] NEJM 1994.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

ACEP Now

OCTOBER 10, 2024

He completed residency in emergency medicine through Emory while training at Grady Hospital in Atlanta. Most recently, Dr. McCormick served as an emergency physician at Northside Hospital. In the Atlanta region, we had AMC, one of the largest hospitals in the region closed. Overburden the other hospital systems.

Telemedicine 105

Telemedicine Critical Access Hospitals Emergency Department 105

ETM Course

FEBRUARY 3, 2016

In this episode Andrew Perry interviews Bruce Paix, a very experienced pre-hospital/retrieval (and military) Anaesthetist and trauma expert about haemorrhage control in trauma. Shout out to SAAS MedSTAR (the South Australian Pre-hospital and Retrieval Service) for granting permission for us to use this interview.

Military 52

Military Hospitals Resuscitation 52

EMDocs

JUNE 12, 2024

Ionised calcium levels in major trauma patients who received blood en route to a military medical treatment facility. Abnormal Calcium Levels During Trauma Resuscitation Are Associated With Increased Mortality, Increased Blood Product Use, and Greater Hospital Resource Consumption. Emerg Med J. 2016;33(8):569-572. Emerg Med J.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 105

ETM Course

MAY 3, 2017

Based on reasonable quality data from recent military (and some civilian) studies, tourniquet use for the arrest of life-threatening haemorrhage from exsanguinating limb trauma is now being advocated. This post provides some general and specific information and practical tips on tourniquet use. When should I use a tourniquet?

Military 52

Military Shock Hospitals Operations 52

Sensible Medicine

MAY 31, 2023

Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Her hospital course was uneventful, and she made good therapeutic use of her time on the unit. She had been brought to our hospital from jail, where she had been taken for some misdemeanor.

Psychiatric 96

Psychiatric Hospitals Wellness Military 96

Advanced Emergency Nursing from AENJ

MAY 31, 2018

." One may reflect that morally this applies as much to indigenous health workers, or those of a 'Non-Governmental Organization', as it does to the health services of the superpower militaries.

Military 40

Military Emergency Nursing Pediatrics Hospitals 40

Emergency Medicine Journal

JANUARY 22, 2024

This month’s update is by the Academic Department of Military Emergency Medicine and University Hospitals Plymouth NHS Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. This systematic review and meta-analysis compared the use of supraglottic airways.

Airway Management 40

Airway Management Military Academics Resuscitation 40

Critical Care Now

JULY 7, 2024

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.

Resuscitation 52

Resuscitation Military Outcomes Hospitals 52

RebelEM

NOVEMBER 20, 2023

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.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

ACEP Now

AUGUST 15, 2023

Koo is an emergency physician and attending at MedStar Washington Hospital Center in Washington, and St. Mary’s Hospital in Leonardtown, Maryland.

Emergency Department 90

Emergency Department Military Resuscitation Wellness 90

Sensible Medicine

SEPTEMBER 3, 2024

” “Think about what is best for the hospital.” We want a resort that runs with military precision, especially the plumbing. If I was a doctor at a pediatric research hospital, I would focus on transformational drugs. We are still conducting clinical trials and research.” Maybe one with a bowling alley?

Pediatrics 79

Pediatrics Poisoning Research Military 79

ACEP Now

FEBRUARY 11, 2024

There was concern for possible cutaneous leishmaniasis (CL), therefore he was admitted to the hospital for infectious-disease and surgical consultations, as well as to complete a punch biopsy the following day. were related to military travel and deployment, with a few cases related to leisure travel. Click to enlarge.)

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. An analysis of two national emergency registries. 2011;15(6):276.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

ACEP Now

SEPTEMBER 13, 2023

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. Prior to WVU, Dr. Prescott served as a military emergency physician at Brooke Army Medical Center, TX and Fort Bragg/Fort Liberty, NC. million in federal grants. “I

EMS 45

EMS Research Military Academics 45

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Joseph Kreiselman’s portable concertina-like bellows was invented and deployed in the US military from 1943 followed by the UK’s Porton Resuscitator, postwar, from its secret chemical research facility and used industrially into the early 1960s. Czech Military resuscitation kit, 1969, mfr. AMBU Mark III (mil) RDIC resuscitator for U.S.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Still, except for the public hospital, other hospitals did little emergency work and would have unattended first aid or treatment room in which one could meet one's physician or have an intern provide care in the meanwhile. Rebuilding of EDs in proximity to Radiology, Blood Bank, OR, and ICU, becoming organic to the hospital.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Downeast Emergency Medicine

APRIL 26, 2021

Four level-1 US trauma centers participated in the study where the inclusion criteria were trauma patients who were within 2 hours of their injury and were transported to the trauma center from either the field or another hospital. The primary outcome was head injury-related death in-hospital within 28 days of injury.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

BULLETIN-HOSPITAL FOR JOINT DISEASES NEW YORK, 64(3/4), 139. 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. Khoshdel, A. Modaghegh, M. H., & Kazemzadeh, G. Tejwani, N. C., & Egol, K.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Advanced Emergency Nursing from AENJ

FEBRUARY 19, 2017

Other occupations, such as military, police, and fire, have come to grips with the reality of Post-Traumatic Stress Disorder in their field, but I think that Emergency Nursing doesn't yet accept the cumulative nature of the stresses in our field. My own career includes both prehospital and in-hospital care.

Emergency Nursing 40

Emergency Nursing Military Resuscitation Hospitals 40

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

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. pdf [link] **Patent and description of the S-Tube.

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

EB Medicine

MAY 3, 2019

It’s also important to elicit any psychiatric history, including prior hospitalizations. Nachi: Let’s talk first about special populations - the only one we will discuss this month is military veterans. These patients typically do not require inpatient hospitalization. More on that in a few minutes though.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

ACEP Now

AUGUST 1, 2023

Hospital crowding and ED boarding have been longstanding and persistent crises for more than two decades, yet have progressively worsened over the COVID-19 pandemic.2 Even more so, nurses left practice or migrated to non-hospital settings. Here’s what the government can do to impact the hospital crowding and ED boarding crisis.

Military 98

Military Emergency Department Hospitals Leadership 98

Sensible Medicine

NOVEMBER 22, 2023

Second, hospital leaders have a job that frankly, they could be doing better. They are tasked with managing hospitals in which staff are suffering from burnout and poor morale and where vigilance is always required to assure that vast sums of money are not mismanaged. Hospital CEOs could devote more and more time to their statements.

Leadership 120

Leadership Military Hospitals Wellness 120

Maria Yang, MD

OCTOBER 27, 2023

It is unclear if these voices were related to his threats to carry out a shooting at a military base. Reporting suggests that these two events resulted in a psychiatric hospitalization. This can include a military attacking an opposing nation-state, an organization attacking a nation-state, or a nation-state attacking an exclave.

Military 59

Military Psychiatric Leadership Hospitals 59

Advanced Emergency Nursing from AENJ

MAY 27, 2015

and all start shooting the hospital staff. Little attention has been given to the Hospital as the target of terror. Other issues in hospital security have been dealing with assaultive behavior of patients; workplace violence; active killer scenarios. Attacks have occurred upon hospitals in other countries, notably Yemen.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It was extremely well-liked by field personnel, but virtually unknown in hospitals. The antipathy between field personnel with demand valves and hospital staff with bags was so great that there was seldom any agreement. 1955 **The advancement of resuscitation within field military medicine. Martin, Lawrence, M.D. Bogetz, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Pediatric EM Morsels

MARCH 7, 2025

Military Application of Tranexamic Acid in TraumaEmergency Resuscitation (MATTERs) Study. Tranexamic Acid Use in United States Children’s Hospitals. The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. 2012 Feb;147(2):113-9.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Maria Yang, MD

DECEMBER 7, 2024

This chapter advocates for Veteran-centric care and wants military veterans to have easier access to high quality services. Like most other physicians who trained in the US, I spent time in residency and fellowship working in VA hospitals. (As How did fate send us on such different paths, only to intersect in the hospital?)

Military 40

Military Psychiatric Administration Pediatrics 40

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Their focus was on developing a refined technique suitable for mass usage by the military who funded them and by the lay public. doi:10.4103/2229-5151.128014 ** Broad review of the spectrum of current out-of-hospital airway management. Advances in prehospital airway management. Deshmukh, S. Gadkari, C. Badwaik, G. & Bhure, A.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40