REBOA: The Next Stop on the Road to Trauma Management?
The management of major trauma has a long history of failures found along a road of good intention. From Military Anti-Shock Trousers (MAST) to aggressive crystalloid administration, we’ve seen management strategies come and go over the years, after the reality of the practice didn’t measure up to the expectation of improved outcomes. Today, we have several novel concepts being implemented across the world to try to move the needle for trauma resuscitation. Tranexamic acid (TXA), blood product administration, and simple (finger) thoracostomy are a few of the advances that seem to be gaining interest in EMS. Alt...
Source: JEMS Patient Care - July 5, 2018 Category: Emergency Medicine Authors: Mark E.A. Escott, MD, MPH, FACEP, NRP Tags: Trauma Columns Source Type: news
Live tissue vs synthetic tissue training for critical procedures: No difference in performance
(Society for Academic Emergency Medicine) Training on the synthetic training model (STM) or live tissue (LT) model does not result in a difference in subsequent performance for five of the seven critical procedures examined: junctional hemorrhage wound packing, tourniquet, chest seal, nasopharyngeal airway, and needle thoracostomy. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 23, 2018 Category: International Medicine & Public Health Source Type: news
Traumatic rupture of a posterior mediastinal teratoma following motor-vehicle accident - Bell C, Domingo F, Miller AD, Smith JS, Headrick JR.
We report a case of a posterior mediastinal mature cystic teratoma with rupture secondary to blunt chest trauma in a 20-year-old male involved in a motor-vehicle accident. Initial treatment was guided by Advanced Trauma Life Support and a tube thoracostomy... (Source: SafetyLit)
Source: SafetyLit - November 9, 2016 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality - Chiarelli M, Gerosa M, Guttadauro A, Gabrielli F, Vertemati G, Cazzaniga M, Fumagalli L, De Simone M, Cioffi U.
BACKGROUND: The majority of patients with severe blunt chest trauma is successfully treated with supportive measures and thoracostomy tube; only few cases need urgent thoracotomy. Lung-sparing techniques are treatments of choice but major pulmonary resecti... (Source: SafetyLit)
Source: SafetyLit - August 13, 2016 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Where in the World of EMS is (Flat) A.J. Heightman?
It’s not yet noon and I’ve got my finger poking through the side of a sow, knuckle deep. The large surgical lamps are beating down upon me and the other five members of my group and, combined with the assortment of protective gear we’re wearing, we’re—well, sweating like pigs. The lung at my fingertip continues to expand and fall as we imagine it belongs to a man who just fell from a third-story window. Ten minutes prior, it belonged to a geriatric man who’d crashed his motorcycle. Before that, our swine was a woman ejected from her vehicle during a crash. This is all part of the porcine...
Source: JEMS Patient Care - April 14, 2016 Category: Emergency Medicine Authors: Allie Daugherty Tags: Patient Care Training Source Type: news