In our MARCH mnemonic, circulation essentially asks the question:Â is this patient in shock?
The preshopsital management of hypovolemic shock, without the ability to provide blood products is limited. Historically, there are a variety of clinical indicators and management strategies for hypovolemic shock; their accuracy and successes are highly variable.Â
Researched and written by Mike Shertz, MD/18D, not AI đź•– Reading Time, 9 minutes Although the ideal fluid for resuscitation of trauma patients is blood, in most austere and tactical settings, particularly outside of military Special Operations, IV crystalloids are …
A growing body of literature shows EtCO2 levels closely and inversely correlate with venous lactate, a marker of anaerobic metabolism. BLUF: Operationally, if your trauma patient has an EtCO2
To truly understand a casualty’s respiratory status, a provider needs to know both their hemoglobin oxygen saturation, which is easily measured with pulse oximetry, and exhaled carbon dioxide level, a marker of ventilation. Among changes in the 25 JAN 2024 …
BLUF: The Dial-A-Flow IV regulating device is a cheap, lightweight, and easy option for administering IV infusions when traditional IV pumps aren’t available. Although it’s accuracy to deliver the exact volume of IV fluid desired can be + / – …
đź•– Reading Time, 8 minutes UPDATE: Is trying to resuscitate trauma patients with prehospital cardiac arrest futile? Conventional wisdom was that it was futile because the expectation of survival was too low. Newer research shows survival rates may be higher …
đź•– Reading Time, 6 minutes BLUF: “Normal” values vary by age, gender, temperature (both environmental and casualty’s), and lighting conditions. Different providers will see different durations of refill time. With all these adjustments and limitations of how normal is defined, …