Remove Military Remove Shock Remove Wellness
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Trauma Resuscitation Updates

RebelEM

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4% NEJM 1994. [2]

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Tourniquets are back

ETM Course

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?

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Why Pediatric Rare Medicine is Like Timeshare Sales

Sensible Medicine

It is well-recognized that our commercial drug development process, a process that has led to so many nearly miraculous advancements, serves people with rare diseases poorly. Sensible Medicine readers appreciate a well-designed clinical trial. We want a resort that runs with military precision, especially the plumbing.

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

ACEP Now

We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. as well as working closely on behalf of the association on projects with the White House and the Departments of Veterans Affairs, Defense, and Health and Human Services.

EMS 45
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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. Committee on Shock.

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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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Time, the subtle thief of youth

Advanced Emergency Nursing from AENJ

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. How great must be her shock. Some have called this "Compassion Fatigue."