by Richard Hoang | Aug 22, 2019 | Critical Care, Mass Casualty / Disaster, Pre-Hospital, Trauma
Blast injuries resulting from explosions have the capacity to cause life-threatening multisystem injuries in multiple victims simultaneously. The biggest potential challenge in managing blast injuries is the creation of large numbers of simultaneous critically ill...
by Daniel Beamish, Richard Hoang, Shankar Sethuraman | Jul 25, 2019 | Grand Round Summaries, Pre-Hospital, Resuscitation, Trauma
There was a significant amount of pre-hospital research published in 2018; many trials were that will no doubt inform future guidelines and change practice. This post seeks to look at some of the historical features of prehospital research and give us a road map for...
by Richard Hoang | Apr 4, 2019 | Critical Care, Pre-Hospital, Trauma
The Tactical Combat Casualty Care (TCCC) Guidelines are the standard of care for the modern battlefield. TCCC offers operational guidelines for a range of combat personnel – from recommendations for all combatants to combat paramedics and SOF medics. Though these...
by Justin Godbout, Richard Hoang, Shankar Sethuraman | Mar 14, 2019 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation
Mechanical CPR is a technology whereby a machine performs chest compressions in place of a human provider. These devices are becoming increasingly prevalent in the prehospital and in-hospital arenas, and it is inevitable that healthcare providers will interact with...
by Richard Hoang | Mar 7, 2019 | Critical Care, Featured, Pre-Hospital, Resuscitation, Trauma
Hemorrhage is the leading cause of preventable death on the battlefield. Damage Control Resuscitation (DCR) works synergistically with Damage Control Surgery (DCS) and prioritizes non-surgical interventions that reduce morbidity and mortality due to trauma and...
by Jillian Coleby, Richard Hoang, Shankar Sethuraman | Feb 28, 2019 | Grand Round Summaries, Mass Casualty / Disaster, Pre-Hospital
Mass gathering medicine (MGM) is an exciting niche field of emergency medicine focused on providing emergency medical care at large events. Mass gatherings, as the name implies, are events in which “large numbers of people assemble in public or private spaces to...
by Hans Rosenberg | Feb 25, 2019 | Full Article, Journal Club, Pre-Hospital, Trauma
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2.5 /5 Sperry JL, et al. N Engl J Med. 2018 Jul 26;379(4):315-326. Question and Methods: Determine the efficacy of prehospital plasma compared with standard-care resuscitation in injured patients at risk...
by Hans Rosenberg | Feb 11, 2019 | Airway, cardiac arrest, Critical Care, Featured, Full Article, Journal Club, Pre-Hospital
Journal Club Summary Methodology Score: 3.5/5 Usefulness Score: 2.5/5 Jabre P, et al. JAMA. 2018 Feb 27;319(8):779-787. Question and Methods: This was a multicenter randomized trial comparing bag valve mask ventilation with endotracheal intubation performed by...
by Richard Hoang | Nov 22, 2018 | Mass Casualty / Disaster, Medical Education, Pre-Hospital
As dedicated in-hospital emergency providers, few of us truly understand or get to experience the difficulties and unique challenges facing our pre-hospital colleagues. Beyond the EMS handover and transfer of patient care, we seldom interact with this large and...
by Richard Hoang | Jul 19, 2018 | Featured, Mass Casualty / Disaster, Pre-Hospital
TCCC (Tactical combat casualty care) outlines the priorities of care for casualties in combat applications Nearly 90% of combat fatalities occur before reaching a medical treatment facility Prehospital phase is the focus of efforts to reduce deaths in combat TCCC...