Posts Tagged trauma

If Only

I think we’ve all experienced what I like to call “case envy.”  Or even sometimes, “shift envy.” You come on and your colleague immediately starts telling you about the interesting case, or the polytrauma, or the fantastic save/diagnosis/procedure that they just completed.

“Hey, bud, I just performed an open thoracotomy, cross-clamped the aorta and threw in a central line just after performing a cric while I was watching this guy’s aorta rupture during my ultrasound of his belly during which we lost pulses.  Sorry about the rest of the mess here in the ED, but those three pelvics and a disempaction might yield something interesting… Enjoy your shift!”

Yeah…

I sometimes hear the story and wonder what I might have done.  Would I have handled things the same way?  Is that the diagnostic approach I would have followed?  Would I even have considered things the same way?  Why don’t I ever get the cool cases…?

In residency, we had one colleague who was the perpetual “Black Cloud.”  Now, they got to see a lot of cool stuff.  However, you didn’t want to follow them because you knew it was going to be chaos in the ED when you arrived.  And, if you came before them, you knew the last part of your shift was going to start going to pot about an hour before the end of it.

So maybe it’s not so bad being a bit of a white cloud… but still… I think we all like to have a little something that gets the juices flowing, the mind working, a bit of “yeah for me” moment… After all, that’s why we got into Emergency Medicine… at least for me… how about you?

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Interview with EMS Physician, Cliff Reid

I was able to cajole Cliff Reid of the amazing blog, resus.me on to the EMCrit program. Cliff is truly a doc after my own heart as you will hear from the cast.

He is currently an EMS physician and Director of Training at the New South Wales Ambulance Service.

Cliff’s blog, resus.me is an incredible collection of timely articles on emergency medicine, ems, critical care and resuscitation.

Cliff and I discuss prehospital intubations, helicopters for EMS, and upstairs care, outside the walls of the hospital.

[Click here to read more and hear the podcast]

photo by mad scientist

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Management of Traumatic Arrest

This week I am discussing the management of traumatic arrest. A whole host of things need to happen in rapid succession, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, and when to stop.

[Click Here to Read More and to Hear the Podcast]

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