- Видео 31
- Просмотров 14 578
Steven Schauer
Добавлен 5 дек 2022
Low titer O whole blood update with Florida NAEMSP
Recently, we published data on the number of centers using LTOWB for trauma.
Come join me as I give an update on the @FL_NAEMSP the latest data with newly released data from TQIP.
onlinelibrary.wiley.com/doi/epdf/10.1111/trf.17746
#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #florida #colorado
Come join me as I give an update on the @FL_NAEMSP the latest data with newly released data from TQIP.
onlinelibrary.wiley.com/doi/epdf/10.1111/trf.17746
#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #florida #colorado
Просмотров: 86
Видео
September 18, 2023
Просмотров 7211 месяцев назад
What are the effects of ☕️ on your 🫀? This robust study in the NEJM finds that ☕️ is... -Not associated with PACs -Definitely associated with PVCs -Associated with more steps -Associated with some sleep disturbances, albeit minimal -Not associated with glucose levels #emergency #emergencymedicine #cardiology #heart #health #fitness #coffee #energy #life #caffeine #data #science #research #meded...
Repost from @kens5
Просмотров 103Год назад
1. Repost from @kens5 🚫🟰 agreement/endorsement 2. The data on this topic is weak and limited to a handful of survey-based studies 3. I'm interested in hearing the reasons for opposition to LTT other than the obvious animal welfare aspect. Please share #army #navy #airforce #marines #armymedicine #animal #simulation #education #training #medicine #student #resident #learn #data #science #armyemd...
Study finds VL superior to DL for first-pass intubation in neonates
Просмотров 36Год назад
Study in the journal Lancet Child and Adolescent Health finds VL superior to DL for first-pass intubation of really small humans 👶🏻 with an adjusted absolute risk difference of 9.5%. pubmed.ncbi.nlm.nih.gov/36436541/ #emergency #icu #criticalcare #anesthesia #anesthesiologist #crna #airway #baby #infant #nicu #foamed #foamem #foamfrat #foamcc #foam #doctor #nurse #resident #residency
A Comparison of Combat Casualty Outcomes after Prehospital Versus Military Treatment Facility
Просмотров 40Год назад
Outcomes (adjusted) are worse when casualties are intubated prehospital compared to the ED during war. This is why we need better technology - such as VL - for our Role 1 medical personnel. medcoe.army.mil/the-medical-journal-archive #emergency #trauma #war #army #navy #airforce #combat #medic #combatmedic #doctor #nurse #np #pa #foam #foamed #foamfrat
Valproic acid as adjuvant treatment for convulsive status epilepticus a randomised clinical trial
Просмотров 26Год назад
RCT published in Critical Care finds little-to-no benefit to adding valproic acid infusion as an adjuvant to standard therapy for status epilepticus. www.ncbi.nlm.nih.gov/pmc/articles/PMC9830759/ #emergency #emergencymedicine #icu #criticalcare #sick #seizure #neuroscience #brain #foamfrat #foamed #foam #doctor #nurse #medicalstudent #resident #residency
Can Military Role 1 Practitioners Maintain Their Skills Working at Civilian Level 1 Trauma Centers?
Просмотров 66Год назад
Krieger's paper compares the experience at a level 1 trauma center to the deployed setting. Probably of no surprise, the civilian trauma center had a volume of ICTL's that better matched the deployed setting. The Army needs to expand these MIL-CIV collaborations. From my personal experience at Fort Polk in the ER, over the course of 2 years I had 1 intubation, 0 central lines, 0 chest tubes, 0 ...
Critical care fellowship training improves outcomes in the ICU
Просмотров 22Год назад
Large study in South Korea finds, unsurprisingly, that training in critical care improves outcomes compared to ICUs staffed by docs not fellowship trained www.ncbi.nlm.nih.gov/pmc/articles/PMC9839899/ #criticalcare #icu #emergency #science #data #research #residency #fellowship
Transfusion targets after neurotrauma
Просмотров 15Год назад
Systematic review of transfusions after neurotrauma finds that Hgb targets should be conservative, but too conservative - 7-9 is probably best www.liebertpub.com/doi/10.1089/neur.2022.0056 #emergency #icu #emergencymedicine #criticalcare #neuroscience #brain #trauma #injury #science #data #research #foam #foamed #foamfrat
Corticosteroids in cardiac arrest
Просмотров 27Год назад
Corticosteroids may have benefits in cardiac arrest, but this practice is probably not ready for prime time. pubmed.ncbi.nlm.nih.gov/36631807/ #emergency #emergencymedicine #icu #criticalcare #heart #science #research #data #medtwitter #FOAMed #foamfrat #medic #paramedic #ems #ambulance #nurse #doctor #medicine #medicalstudent #residency
2 units of blood = sick
Просмотров 54Год назад
A threshold of 2 units of blood has 90% sensitivity for 24-hour death. Once you hit unit #2, start mobilizing resources. You've got a sick patient on your hands. pubmed.ncbi.nlm.nih.gov/36607293/ #emergency #blood #trauma #injury #army #navy #airforce #marines #combat #war #icu
DEVICE trial methods published
Просмотров 26Год назад
Is video laryngoscopy superior to direct laryngoscopy for emergency intubation? Our clinical trial methods to answer this question are published. Results are coming soon. bmjopen.bmj.com/content/13/1/e068978.long #emergency #icu #resuscitation #trauma #military #science #data #research #emergencymedicine #medic #paramedic #ambulance #criticalcare
Scrub color matters
Просмотров 294Год назад
Study finds that green scrubs are most surgeonesque, blue are most caring, and black scrubs flopped on all metrics. Ironically, I'm sharing this post while wearing black scrubs. pubmed.ncbi.nlm.nih.gov/36630142/ #emergency #medicine #surgeon #scrubs #medtwitter #doctor #patient #foamed #foam #foamfrat
CALCIUM study protocol published
Просмотров 56Год назад
Patients often get hypocalcemic after we pour in blood products, but does the trauma in and of itself cause hypocalcemia? Stay tuned to find out. In the meantime, check out our study protocol we recently published. pubmed.ncbi.nlm.nih.gov/36580528/ #emergency #trauma #injury #blood #criticalcare #emergencymedicine #foam #foamed #ems #ambulance #medic #combatmedic #data #science #research #nerd
Early hyperoxia may not be harmful
Просмотров 24Год назад
Secondary analysis of the Resuscitation Outcomes Consortium Traumatic Brain Injury Hypertonic Saline suggests that excess oxygen during the first 4 hours of resuscitation is probably okay. #oxygen #emergency #sick #trauma #tbi #brain #injury #science pubmed.ncbi.nlm.nih.gov/36402630/
Consensus panel on pediatric traumatic hemorrhage
Просмотров 42Год назад
Consensus panel on pediatric traumatic hemorrhage
Another nail in the coffin for saline and resuscitation... this time with kids
Просмотров 24Год назад
Another nail in the coffin for saline and resuscitation... this time with kids
Less is more when it comes to antibiotics course length and pediatric community acquired pneumonia
Просмотров 32Год назад
Less is more when it comes to antibiotics course length and pediatric community acquired pneumonia
Study compares outcomes for REBOA versus resuscitative thoracotomy
Просмотров 108Год назад
Study compares outcomes for REBOA versus resuscitative thoracotomy
Training video for warm, fresh, whole blood transfusion procedures
Просмотров 13 тыс.Год назад
Training video for warm, fresh, whole blood transfusion procedures
Early hemoglobin predicts transfusion needs
Просмотров 18Год назад
Early hemoglobin predicts transfusion needs
How often do we intubate people prehospital after ketamine administration?
Просмотров 25Год назад
How often do we intubate people prehospital after ketamine administration?
TCCC proposed update on analgesia prehospital
Просмотров 24Год назад
TCCC proposed update on analgesia prehospital
Post-traumatic seizures in children review
Просмотров 12Год назад
Post-traumatic seizures in children review
Crit Care Explor Combat Trauma Related Acute Respiratory Distress Syndrome
Просмотров 6Год назад
Crit Care Explor Combat Trauma Related Acute Respiratory Distress Syndrome
Nebulized versus intravenous tranexamic acid for hemoptysis, A pilot randomized controlled
Просмотров 203Год назад
Nebulized versus intravenous tranexamic acid for hemoptysis, A pilot randomized controlled
No mention of the temperature of the blood. I understand the training that comes with heaters for carrying blood in the field. Second, it seems as though you had a lot of air in that line before beginning the infusion. High level training should include reiterating the basics to be considered comprehensive. I understand that you have years of experience and it seems you have your own approach to operating standards and procedures but it may be beneficial to put your own ideas behind those that have to build upon their own responsibilities. Thank you Major.
Ahh St. Fisher, Patron Saint of EBM
New combat medic here is there a reason for no calcium we’ve been told that you need it or is this just a new thing compared to when this video was released?
Very informative! I’m writing something that involves a blood transfusion in field and this has been massively helpful! Did find it funny that his blood went on a little vacation😂
They didn’t mention it, but remember to give calcium after the first unit, due to the citrate in the bag
Had me laughing cause I didn’t think they’d return it 5 mins later, thanks for the video
The patient scanned my criminal history, social security, and medical records with that look.
I laughed so hard at this, thank you lmfao
😂
Very cool, I'm in civ side but really cool to see what techniques are able to be performed when necessary. Really appreciate you all sharing thanks!
Dude... the look on your patient
Promo>SM 🎊
As much as I love this video and how informative it is, the man just staring at me is hilarious.
Right... He looks worried.
It’s amazing how many details are packed into this process. Your video has given me insight into the level of precision medical professionals diligently need to successfully treat patients.
Very interesting, definitely should be using the high tech simulators that college and university students get instead.
This is David Pearose MD. One night when I was working ICU at Texas Vista you taught me how to intubate and I’m forever grateful that. Been smooth sailing since.
I was wondering why you didnt run the blood from the line into the bag prior to tying the knots as some have previously taught. You mentioned that now its probably best to just tie the knots and cut. Is this just due to no clinical significance, time/complication, or additional steps that just are not required? Also, Thank you so much for making this video, it will be a required watch for my medics
Extra steps and the line does not have anticoagulant so if you let it sit too long it'll clot
Incredible material. Which FM/resources can we use that covers this procedure?
No doctrinal documents. We will have training materials soon as well.
@@armyemdoc Shame. Would really like to read into the literature behind this. I swear the Army has to have some sort of policies and procedures behind the whole blood program.
@@daltonater1212 There are policies and procedures on this. SOF units have been doing this prehospital for years.
@@armyemdoc Where will these be posted?
@@phyzzko Once I them finalized and cleared through PAO, I will post online
Thank you for this refresher class.
Lovely