254: Mastering Shock Management in Trauma with Max
In this episode of the PFC Podcast, Dennis and Max delve into the complexities of managing shock, particularly hemorrhagic shock, in trauma patients. They discuss the importance of mental status as a key indicator of a patient’s condition, …
253: Cadaveric Blood Donation?!
In this episode of the PFC Podcast, Dennis engages with Patrick, Mason, and Jonathan to discuss the emerging research on cadaveric blood and its potential applications in military medicine. The conversation explores the historical context of deceased donor …
251: Hemorrhagic Shock Progression with Max
In this episode of the PFC Podcast, Dennis and Max delve into the complexities of hemorrhagic shock, discussing its classifications, the importance of understanding compensated versus uncompensated shock, and the vital signs that indicate a patient’s condition. They …
212: TXA with John McClellan
In this episode of the PFC Podcast, Dennis speaks with John McClellan, a military trauma surgeon, about the use of Tranexamic Acid (TXA) in trauma care. They discuss the mechanism of TXA, its applications in pre-hospital settings, potential …
203: Freeze Dried Plasma with Doug
In this episode of the PFC Podcast, Dennis and ICU doctor Doug discuss the intricacies of resuscitation techniques, focusing on the use of freeze-dried plasma (FDP) and its benefits in trauma care. They explore the physiological aspects of …
192: Clot Formation Research with Alex
In this episode, Dennis and Alex discuss the importance of reading research papers and critically analyzing their applicability to the operational environment. They review a paper on the role of red blood cells in thrombosis and post-transfusion hypercoagulability. The study found that red blood cell aggregation increased in the presence of tissue factor and calcium. While the study had limitations in terms of sample size and external validity, it raised questions about the use of calcium and tranexamic acid (TXA) in trauma patients. Dennis emphasizes the need to critically assess the need for these interventions based on individual patient factors. The conversation explores the complexity of blood clotting and the challenges of managing critically ill trauma patients. The hosts discuss the activation of blood components, the role of red blood cells in clot formation, and the use of thrombin matrix. They also touch on the age of blood and its impact on clotting, as well as the importance of trauma surgeons in managing these patients. The conversation emphasizes the need for continuous learning and clinical decision-making based on individual patient scenarios.