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RSI vs MAI, DSI
Crash Airway Surgical Airway Bagging Complaince PH of Fluids MAP-IPC=CPP Why Lucas/Autopulse Feedback devices |
Hypotensive Resuscitation
Volume Replacment TXA Vasopressin Epinephrine Norepinephrine (Levophed) Dopamine BLOOD PRODUCTS |
TRAUMA RESUSCITATION FOR BLS, ALS, CRTICAL CARE AND RURAL ER’S
REMEMBER TO ALWAYS START WITH BASICS. ITS AMAZING THE AMOUNT OF LIFE SAVING INTERVENTIONS WE CAN PREFORM AT THE BLS LEVEL.
MUSCLE/SKELETAL:
Splints,
Tourniquets
Pelvic Binders
TPods
Manual Manipulation
Hemostatic Gauze
WARM, WARM, WARM
AIRWAY AND BREATHING
KINGAIRWAY ADJ.
IGELS
2 THUMBS UP TECHNIQUE
Splints,
Tourniquets
Pelvic Binders
TPods
Manual Manipulation
Hemostatic Gauze
WARM, WARM, WARM
AIRWAY AND BREATHING
KINGAIRWAY ADJ.
IGELS
2 THUMBS UP TECHNIQUE
ALS Skills - The big basket of tools and tricks. When we obtain over a 1200 hours of initial education we learn all about cellular perfusion, volume status, shock, fluid shift, oxyhemoglobin dissociation curve, IV, IO, and intubation skills. But our list of improvements becomes huge. So lets visit a list of things to improve our ALS skills.
IMAGINE: You are dispatched to a rural ATV accident, The patient is a middle aged male with obvious traumatic injuries and multiple systems affected. This patient is such a mess that going back to basics is about the only thing anyone can think of in the first 5 minutes. Think of your level. Think of your toolbox. Can you do fluids? Should you IO? Does he need an emergent airway? Oral Adjunct vs Nasal Adjunct... This list goes on.
The reason I bring up this patient is to emphasize: The higher the level of provider, the more options we have to succeed or fail.
I have fallen into so many pitfalls and traps I now am overly aggressive with some concepts I have learned from my trainers and the experts I follow.
BLS - The ultimate fighting champion. Our BLS skills are the life saving skills and techniques that truly can keep a patient alive until additional interventions. Here are some things for improving our BLS Skills.
Shock Index: HR/SBP <0.7= good. .0.9 =bad.
CCP is MAP-ICP.
CCP needs to be greater than 50.
Check fluid responsiveness by bolusing the patient with their own blood. Lift the legs.
Drill baby drill. IO is faster, larger, and more likely to increase volume status.
In a perfect world we should never give pressors for hypovolemic (blood loss) shock. But we need to know that blood products often have citrate which effect natural electrolytes and vasopressin.
The reason I bring up this patient is to emphasize: The higher the level of provider, the more options we have to succeed or fail.
I have fallen into so many pitfalls and traps I now am overly aggressive with some concepts I have learned from my trainers and the experts I follow.
BLS - The ultimate fighting champion. Our BLS skills are the life saving skills and techniques that truly can keep a patient alive until additional interventions. Here are some things for improving our BLS Skills.
Shock Index: HR/SBP <0.7= good. .0.9 =bad.
CCP is MAP-ICP.
CCP needs to be greater than 50.
Check fluid responsiveness by bolusing the patient with their own blood. Lift the legs.
Drill baby drill. IO is faster, larger, and more likely to increase volume status.
In a perfect world we should never give pressors for hypovolemic (blood loss) shock. But we need to know that blood products often have citrate which effect natural electrolytes and vasopressin.