article thumbnail

Giving TXA Via An Intraosseous Line?

The Trauma Pro

Seriously injured patients frequently develop coagulopathy, which makes resuscitation (and survival) more challenging. The US military has adopted its routine use at forward combat hospitals. This can and does occur with military type injuries. But for our military colleagues, this could be a very valuable tool!

Military 279
article thumbnail

Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Hypothermia and drowning

Don't Forget the Bubbles

Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Military medicine , 163 (10), 719-721. Military medicine , 163 (10), 719-721.

article thumbnail

Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Czech Military resuscitation kit, 1969, mfr.

article thumbnail

Best Of AAST #7: How Do You Like Your Platelets – Warm Or Cold?

The Trauma Pro

Researchers from the US Army performed a retrospective registry study on a sample of military casualties over four years. I’m surprised that a military registry could only come up with 75 patients a year to analyze. They identified soldiers who received either room-temperature or cold-stored platelets.

Military 113
article thumbnail

AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

Scientific Rigor Red Cross resuscitation courses closely align with the International Liaison Committee on Resuscitation (ILCOR) recommendations. Major resuscitation organizations worldwide meet in this forum to share knowledge and best practices. All three leverage the latest educational methodologies.

article thumbnail

Liquid Plasma vs FFP: Impact On Your Massive Transfusion Protocol

The Trauma Pro

I think we’ll have to look to our military colleagues to pull this one off! What we really need is a study that shows the survival advantage when using liquid plasma compared to thawed. But don’t hold your breath. It will take a large number of patients and some fancy statistical analysis to demonstrate this.

Military 147