Pre-Hospital Critical Care


REBOA, ECMO, Thoracotomy? Where should we be focussing our attention in the world of Pre-hospital care?

We were lucky enough to be invited to the London Trauma Conference on the Prehospital Day supported by the Norwegian Air Ambulance Foundation. The day focussed on the areas we can make a real impact to the outcomes of our pre-hospital critical care patients. We grabbed a few minutes time of the following speakers to hear their thoughts;

Intraosseous Access; Jerry Nolan

Pre-hospital Blood products; Jostein Hagemo

Communication under pressure; Dr Stephen Hearn

Pre-hospital Critical Care – what should the near future look like? Dr Stephen Rashford

Have a listen and as always we’d love to hear any thoughts or comments you have on the website and via twitter, and take a look at the references below to draw your own conclusions. We’ll be back in the new year with monthly episodes of Papers of the Month and Roadside to Resus; have a great Christmas and New Year and we’ll speak to you soon!

Enjoy!

SimonRob & James

References

London Trauma Conference

Shock in Truma; The Resus Room

Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock. Sperry JL. N Engl J Med. 2018 

Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. Holcomb JB. JAMA. 2015 

Pharmacokinetic effects of endotracheal, intraosseous, and intravenous epinephrine in a swine model of traumatic cardiac arrest. Burgert JM. Am J Emerg Med. 2019

Intraosseous versus intravenous vascular access during out-of-hospital cardiac arrest: a randomized controlled trial. Reades R. Ann Emerg Med. 2011

Intraosseous compared to intravenous drug resuscitation in out-of-hospital cardiac arrest. Feinstein BA. Resuscitation. 2017 

Intraosseous versus intravenous access in patients with out-of-hospital cardiac arrest: Insights from the resuscitation outcomes consortium continuous chest compression trial. Mody P. Resuscitation. 2019

Intraosseous needles in pediatric cadavers: Rate of malposition. Maxien D. Resuscitation. 2019

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