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Its closer than you think. Junctional tourniquets are good. Depending on where the wound is though the best course of action may be to go knuckle deep in the wound, find the artery and manually compress until you can get a clamp in there.

True, im hoping the T2's will be better about the start up time

AG cufill

Im gonna go a different route then the people above me. If he is hemodynamically stable (Shock index, BP, MAP, cap refill) then you need to treat pain prior to movement. It shouldnt take long to deliver pain medication (IV, IM, IN) along with proper splinting of affected areas to reduce pain...

Reasons these patients are combative after narcan administration 1. They are hypoxic 2. They are hypercapnic 3. They have a sympathetic surge 4. Mixed use of drugs. If you treated hypoxia and hypercapnia before giving narcan alot of it can be avoided.

HEMS critical care is a good one

@TransportJockey @RocketMedic an island with an impervious defense to current trauma management standards and evidence.

@TransportJockey That sucks, from my understanding theres not much data supporting the 2nd infusion over 8 hours but it is all about how close to the time of injury it is administered. If we are talking about the same LVL 1 center, then ive seen them throw our blood products in the trash just...

used it like crazy at a previous agency. Its not something you are gonna be able to tell how well it works. If they got close to meeting the criteria we just gave it. From my understanding (and i may not be up to date) there is no real harm in giving it when its not needed. So we just had a...

I didn't realize there was so many fellow Houston peeps on here.

I got it today

The whole "just taking a look" mindset is just an excuse. Its an out so ****ty medics can feel good about themselves.

So this patient suffered from several things. This patient was suffering from spleenic sequestration that ruptured when given fluids to quickly. Her renal arteries infarcted as well as her bowel. She was in DIC with an INR >10. The BGL read 10 at the receiving. The Potassium was 7.8 at the...

DSHS takes forever

haha im gonna have to steal this one.

PART 2 Just a lab refresher PH 6.8, Potassium 3.7, Lactate 8, hemoglobin 3, So you aks the physician for an epi drip (several times) and she is adamantly against it, but agrees to a levophed drip, which you start at 0.1mcg/kg/min. You also give a 50ml NS bolus. You also begin to infuse...

@CWATT a 50ml TV wouldnt be too low for this kid do to the hemodynamics, i think it comes out to just above 4ml/kg which some protocols recommend for hemodynamically unstable patients.

So the best i could tell was since they were using adult vent tubing, and they were on pressure control, the vent could not sense how much volume it was giving. Too much deadspace for too little volume, so sometimes it wasnt sensing any air return and i guess miss calculating when it did. The...

Pulses yes, adult vent tubing yes. Sorry 11kg.

Also, this is how i recieved the choppy *** report despite best efforts of obtaining more information. After a few answers ill post Part 2. Im interested to hear yalls plan. @VentMonkey @Remi @NomadicMedic @VFlutter @E tank @Summit @RocketMedic