Posts from the ‘FOAMEd’ Category
Originally posted on Auckland HEMS:
Pretty much summarizes the severe traumas that define the essence of our trade.
And sometimes, the answer to critical bleeding is to give blood.
We are grateful to our colleagues at Sydney HEMS, who advise: “blood is provided to transfuse patients with life-threatening bleeding after meticulous attention to hemorrhage control.”
Auckland HEMS is poised to begin providing prehospital blood as part of our bundle of critical clinical interventions. We are fortunate to collaborate with the New Zealand Blood Service and with our local District Health Board to provide this service. http://www.nzblood.co.nz
Herein, please find our training video. We welcome your feedback.
Our draft Blood SOP is undergoing usability testing with our clinical teams. Once finalized, we will share this for FOAM.
This is an unsystematic review of the current literature. A few themes are emerging:
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Originally posted on FOAMcast:
The Free Open Access Medical Education (FOAM)
We review Dr. Scott Weingart’s episode 133 on pre-hospital REBOA (resuscitative endovascular balloon occlusion of the aorta). Weingart interviews Dr. Gareth Davies about the encounter, underscoring the increasing use of REBOA.
For a quick REBOA refresher, check out Episode 121.
REBOA (Review of REBOA) – First described in 1954 in the Korean War, this is a form of hemorrhage control below the level of the chest without having to do a thoracotomy with aortic cross clamping, which has sparse mortality benefit and can be dangerous to providers. Most of the REBOA literature is from swine models and case-series, although there are currently larger trials underway.
- Outline of procedure – Obtain arterial access through the common femoral artery, pass a vascular sheath, float a balloon catheter to the appropriate section of the aorta, and inflate the…
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Our good friend Jim DuCanto continues to innovate and experiment with airways. Here is his newest idea to help manage tube delivery with shorter bougies in an efficient manner: the “d-loop”!
One of the greatest FOAMEd projects I have ever seen come to fruition, please thank Dr Nicholas Chrimes and Martin Bromiley for their tireless endeavours into human factors and improving patient safety.
Check out Nick’s education site here for more information on this video recreation.
Artwork by Dr Natasha Burley-Pirie!
Well done on a great entry by UCAIRCARE/TAMINGTHESRU folks, Dr Jeff Hill and Dr Mike Steurwald!
CHECK OUT ALL THE ENTRIES HERE