Big news from Octapharma receiving an EUA for military use of their dried plasma into every military medics' aid bag. This was just released last week. Once they have full regulatory approval we can get this into every EMS rig in the country. This would be a game changer

We need to delete "GCS less than 8, intubate" from our vernacular when it comes to anything outside of trauma. This SR-MA published 3 days ago assessed this traditional teaching in tox patients. From 1 RCT, 10 prospective observational studies, and 29 retrospective studies,

I've received a number of questions about Traumagel from Cresilon, Inc.. Here's my two cents based on what's public so far: -This was FDA cleared, NOT FDA approved. There's a difference. It went through the 510k pathway, which means it was cleared as a device and not as a drug.

More on the topic of calcium derangements from trauma... In this study, we looked at the proportion of major trauma activations at UT Health San Antonio that were hypocalcemic on arrival. Out of 1981, 44% were hypocalcemic on arrival. Here are a few things to note: -Adjusted survival

Should we be empirically giving naloxone (Narcan) to undifferentiated out-of-hospital non-traumatic cardiac arrest? This study published yesterday says: yes. In this retrospective analysis of 8195 OHCA in California, 1165 received empiric naloxone. -40% of those that received

Are early blood products for traumatic hemorrhage associated with DVT and PE? In our study published this month in AmJSurgery, we analyzed adults that survived at least 24h and received any volume of product. We found that both whole blood and platelets were associated with

The recent EUA granted by the U.S. FDA for military use of OctaplasLG is a huge win for the Department of Defense 🇺🇸 Check out my interview with Joshua Skovlund in Task & Purpose on why this is so important for prehospital military use. taskandpurpose.com/military-life/… #emergency

When resuscitating, can you dabble in whole blood, or do you need to go all in? This paper by Andrew D. Fisher in AmJSurgery this month sought to answer that. He looked at increasing fractions of whole blood as a proportion of total products administered in adults. After adjusting

Congratulations to Octapharma Plasma on their FDA emergency use authorization for freeze-dried plasma. The potential impact for our injured warfighters and civilian communities is incredible and we look forward to future collaborations and the delivery of this critical solution!

Our CALCIUM study is nearing completion (enrollment done, data extraction pending). Susannah Nicholson presented these finds at #MHSRS. We've captured >600 patients with an arrival calcium and ~300 with serial calcium over 24h (or death). The bottom line - the Goldilocks effect

Vasoactives 101: Hydroxocobalamin -Like methylene blue, not a true vasopressor, but we use it for that purpose -Functions as a nitric oxide scavenger. NO is a potent vasodilator released by the endothelium as part of the inflammatory response to many things (sepsis, cardiac

"A cRiCthyRotOmy iS a fAiLeD aIrWaY" amykrepps analyzed 238,128 patients in TQIP that were either intubated, had a surgical airway placed, or had both events documented. -81% had no documented attempt at ETI and therefore the surgical airway served as the primary airway

How much does your ionized calcium drop after infusion of one unit of whole blood? In this prospective sample of healthy Solidiers, it dropped 13% immediately after infusion of one unit of their own warm fresh whole blood during autologous blood transfusion training.

A lot of talk of emergency department REBOA, but how many places are actually using it? Is it that widespread? Hamza Hanif sought to answer that question using TQIP data from the American College of Surgeons with his paper hot off the press in AmJSurgery. Bottom line: Most centers have

"You seem less stressed out after lunch today"

Consider this. You need to establish IV access in a patient but have had no luck starting a line. A research team from SAFD and Healthcare, Innovation & Sciences Centre published a paper on "Graduated Access for Hypotensive Patients (GAHP)." It's the use of an IO to obtain IV access. Before you get

We were honored to host Army Colonel (Dr.) Eric Chin, Chair of Emergency Medicine at BAMC, to discuss how we tackle the toughest challenges in combat casualty care and continue pushing the boundaries of what’s possible in military and civilian medicine.