Podcast 178: Calcium and Trauma with Steve Shauer
In this podcast episode, Dennis interviews Steve Schauer about his calcium study in trauma patients. Steve provides an introduction to himself and his background in emergency medicine and research. He explains that the study aims to determine the prevalence of calcium derangement in trauma patients upon arrival at the trauma center. The study is being conducted at three different trauma centers and has completed enrollment. Steve also discusses the challenges of extrapolating research findings from military trauma to civilian trauma. They also touch on the limitations of the Injury Severity Score (ISS) in assessing military trauma. The conversation then delves into the logistics of the study, including the collection of calcium levels and the potential impact of pre-hospital blood transfusions on calcium levels. They discuss the importance of timing and accuracy in collecting calcium levels and the need for better documentation in trauma care. They also explore the administration of calcium and the differences between calcium gluconate and calcium chloride.
Podcast 136: Front Line Update from a Ukrainian Combat Medic
If you haven’t listened already, here is your reminder to check out the latest episode where Dennis interviews a current Ukrainian Medic, Anri. This podcast is for those who will be deploying to the frontlines in Ukraine, those who are training the Ukrainian Defenders in combat medicine, or those just trying to wrap their heads around how a modern medic would treat a casualty in a WWI scenario with muddy trenches, juxtaposed with constant drone observation, Starlink satellite internet comms and long-range precision munitions that cause massive tissue loss.
Podcast 134: Blood Storage with Monti
How can we get cold stored O-Low Titer blood farther forward on deployments?
Monti is a former army medic who has multiple rotations in Afghanistan and Iraq. He is now part of Delta development, which created a battery-powered blood refrigerator that can store blood between 1 and 6 degrees Celsius, which is vital for prolonged field care. The device can keep blood for up to 10 days on battery power and has a temperature log for easy record-keeping. The goal is to push blood forward to the front lines and eventually back to role three to ensure that blood is available when needed.
Autotransfusion in the Austere Prehospital Setting?
Autotransfusion of pleural blood?
Podcast Episode 49: Set Up a Walking Blood Bank with Andy Fisher
When you can’t take Cold Stored whole blood with you and not all of your soldiers are titered, a walking blood bank can mean the difference between life and death for a patient in hemorrhagic shock. With the mounting evidence suggesting early blood is essential and not just a good idea, you need to have a plan in order to hit the 30 minute target. I have seen students struggle for hours trying to get access in both the patient and the donor. An emphasis on early recognition and early access will save lives.
Podcast Episode 47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG
So what is different than what we already have in the THOR recommendations, the JTS DCR clinical Practice Guideline and the Ranger Regiment TDCR? No hextend?! Calcium with the 1st unit of blood?! TXA slow push?! What if …