CF Collective @CF_Coll
A spot for prehospital and retrieval medicine #FOAMed. And gratuitous helicopter photos. careflightcollective.wordpress.com Australia Joined August 2014-
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We have a post up. On blood. And warming it. And pigs. Obviously. careflightcollective.com/2019/10/17/blo…
@WildernessEMC @AndyDW_ @Bloodwarmer @prehospresus @HelicopterICP @PRatt48462721 @UllyUlrik @midmedau Super glad you enjoyed this post.
Hey. There is finally a new post up on something. It’s about that prehospital blood warming research stuff that kind of started in 1997. careflightcollective.com/2019/10/17/blo…
And the newer bit of work in @Anaes_Journal comparing multiple devices. onlinelibrary.wiley.com/doi/abs/10.111…
And then the first bit of work the crew did on prehospital blood warmers. injuryjournal.com/article/S0020-…
@Paramedic_Matt @WildernessEMC I think the Lite version would have, but not available to us at the time.
Why yes that is a bit of research on small blood warmers suitable for prehospital use to try and see how much they do what they say. onlinelibrary.wiley.com/doi/full/10.11…
@Paramedic_Matt @WildernessEMC Indeed, but didn’t meet the weight cutoff.
@WildernessEMC @Bloodwarmer Hiya. Yep. Hit the DMs.
@ketaminh Been super struggling to get those up thanks to other workload but definitely for this. It was a fun study.
@JoeyDavByrne All fair points (and a good story).
The crew has a case report up. Early recognition —> prehospital choices —> super prepared theatre team —> walk away from a stab to your LV. sciencedirect.com/science/articl…
@CF_Coll For my Stab to the RV story that had pre Hospital notification, I can tell you it was me standing in the resus bay telling the teams to forget the "ED re confirm", trust the pre hospital clinical exam and go directly to the Theatre instead that made it seamless.
@CF_Coll Interventional radiologists I work with are also keen for pre notification so to avoid delay in haemorrhage control. Its what I mean by mandating policies and improving education to improve the pathway so all steakholders understand road to DCS time reduction is what saves lives
@CF_Coll As a Trauma Anaesthetist the best thing I can do is mobilise an OT Team asap so we can perform DCS asap. In a perfect world Code Crimson with ED resus bypass would be direct communication with OT so no delay or communication errors from second hand info.
@CF_Coll I'm aware of the ED call for Code Crim its more the in Hospital alert systems for OT/Radiology that are not polished. Re-education of Trauma Teams to accept prehospital assessments from eFast and clinical judgement and prevent the whole ED resus reassessment delay, is needed.
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