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Thoracic Trauma – The Killer Five

Need to know: * Thoracic injuries carry a high degree of mortality and morbidity. * The Killer Five are immediate, life-threatening injuries requiring rapid recognition and intervention. * Tension pneumothorax, massive hemothorax, cardiac tamponade, open pneumothorax, and flail chest all may be immediately life-threatening. * Understanding etiology, assessment parameters, and interventions is critical for successful […]

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Compensatory Reserve Index

Imagine having a piece of equipment, the size of a finger SPO2 device, that can trend and predict when a shock patient will decompensate. It’s not far off. Check out compensatory reserve index. Exciting stuff. health.mil/News/Articles/2014/07/10/New-Device-Helps-Prevent-Trauma-Deaths

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DKA

What you need to know… * DKA is a problem of insufficient (or inefficient) insulin * BGL > 250, bicarb < 18, pH < 7.3 = DKA * Problems with DKA are characterized by dehydration, acidosis, and relative hypokalemia. * Maintaining elevated minute ventilation is critical for managing DKA patients requiring airway management or respirtory support * […]

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Lab Values You Should Know!

A conversation today prompted me to write this quick note. Lab values. Most of us suck at interpreting them. Why? Probably because we don’t feel as if it applies to the care we provide. If that’s your opinion, you’re wrong. There is so much information you can get regarding your patient’s current status and potential […]

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Airway, Airway, Airway… (part 1)

I didn’t really have to think too long about what my first topical post would be. What is more important to a ditch medicine clinician than the ability to manage a patient’s airway? Answer?…nothing! In the tactical arena things have shifted to a heavy initial focus on life threatening hemorrhage control, and rightfully so. But […]

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