The Paramedic Podcast • A podcast on Spotify for Podcasters

A free, exciting and eclectic podcast covering topics relating to the parts of paramedicine we don’t typically discuss. Tune in for some insightful conversations around paramedic mental health, post traumatic stress and growth, resilience, managing hyper vigilance, inspirational paramedic stories and so much more. *Note: all things discussed are individual opinions and views and is not a reflection of or in collaboration with the organisation in which we operate*
— Read on podcasters.spotify.com/pod/show/marissarose

SHock in TraUma

Some joker on Twitter called Chrimes took this at Aspen, Colorado

It is an oft quoted maxim of trauma resuscitation that shock is haemorrhagic until proven otherwise. Certainly for penetrating trauma this is all often 100% accurate but for blunt trauma it becomes less and less a reliable rule.

Cardiac causes of shock in trauma? Why yes dear reader. Classically the car driver who suffers a myocardial infarction then crashes the car. Albeit yes he/she may be in shock due to a smashed femur but what of their cardiogenic shock from the acute anterior MI? Would pouring litres of salty pasta fluid into their compromised circulation be prudent? Perhaps not.

But in blunt trauma why couldnt the heart be damaged as well? Myocardial contusion does occur. And folks with pre-existing cardiomyopathy do suffer trauma too! So maybe for that next trauma patient you need to consider these cardiac causes of shock as well. If bleeding is obvious of course then that must be stopped and circulating volume replaced appropriately

Vasopressors in Trauma — phemcast

Further reading Matt has kindly provided a list of references from his Trauma Care talk which this podcast is based on: Peri-operative and critical care management of the brain – current evidence. Anaesthesia: Vol 77, No S1. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition Vasopressors in Trauma: A […]

Vasopressors in Trauma — phemcast

Comparison of Three Video Laryngoscopes and Direct Laryngoscopy for Emergency Endotracheal Intubation While Wearing PPE-AGP: A Randomized, Crossover, Simulation Trial – PMC

Comparison of Three Video Laryngoscopes and Direct Laryngoscopy for Emergency Endotracheal Intubation While Wearing PPE-AGP: A Randomized, Crossover, Simulation Trial – PMC
— Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC10048466/

The effectiveness of Foley catheter balloon tamponade versus expanding sponges and hemostatic granules for catastrophic penetrating groin hemorrhage with small skin defect: A comparative study in a live tissue porcine model with evaluation of a concise training program – PMC

The effectiveness of Foley catheter balloon tamponade versus expanding sponges and hemostatic granules for catastrophic penetrating groin hemorrhage with small skin defect: A comparative study in a live tissue porcine model with evaluation of a concise training program – PMC
— Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC10045958/