Hemostatic Resuscitation by Richard Dutton, MD

Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation. Here he is speaking on hemostatic resuscitation.

This lecture was recorded at the EMCrit Conference 2011.

Additional Resources for ACEP 2010 Lectures

If you have just attended one of my two lectures at ACEP 2010, here are the promised additional resources:

Neurocritical Care in the ED

Hemostasis: Stop that Bleed

ACEP Preview – Hemostasis: Stopping the bleeding in a crashing trauma patient

Hey folks,

I’m lecturing at ACEP in Las Vegas this year. This is one of two lectures I’m giving there. If you are going to the conference and plan on coming to my lecture, don’t listen to this lecture; I’d rather you hear the real one in person.

But if you can’t make it this year, and you have 50 minutes, take a listen and let me know what you think.

Here is the Handout

Here are the Slides



Procedural Sedation, Part I (Audio Only)

The audio only version of Part I of the sedation talk.

Remember to check out Part II next…


Procedural Sedation – Part I

It seems the government and other specialties are trying hard to make sedation as difficult as possible in the ED. We must persevere to provide the best procedural sedation for the maximal comfort and safety for our patients. This brief lecture was originally posted on the defunct EMCrit Lecture Site on 8/7/2009.

I’m reposting it here so I can post part II sometime this week.

This episode, Part I, covers general concepts on sedation as well as ketamine and etomidate/fentanyl.

Part II will cover propofol, ketofol, and dexmedetomidine.

Part III, to be done some time in the future, will cover really difficult sedations.

My friend Reub Strayer has a great PSA checklist as well





EMCrit Lecture – Top Ten Hypothermia Tips

At this stage of the game, if your hospital is not offering hypothermia to out-of-hospital cardiac arrests, you are probably lagging behind optimal care. For shockable rhythms, you essentially double your patient’s chances of leaving the hospital with good neurological outcome. However hypothermia can be tough, unless you have done a bunch. Learn from my mistakes in this lecture.

NCS 2010 Hypothermia Talk

I’d love to hear your comments and what you are doing at your hospital.

for more hypothermia resources, see my NYC Hypothermia Section


EMCrit Lecture – Dominating the Vent: Part I

When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship. I had become part of the problem. I decided there must be a way to make vent management more understandable and if not interesting, at least bearable.

This lecture was up on the soon to be defunct EMCrit Lecture site. It offers a path to managing any patient on the ventilator in the ED. I have tried to simplify as much as possible while still maintaining an evidence-based approach.

This is Part I, it deals with the lung injury strategy. Next week, we’ll talk about the strategy for patients with obstructive lung disease.

There are only 4 things you need to remember for a lung injury patient:

Vt (Tidal Volume) = Lung Protection

Flow Rate = Patient Comfort

Resp Rate = Ventilation

FiO2/PEEP = Oxygenation

First Print out this Handout

If you need just the audio [right or cntrl click here]

Vent Handout

This post is just to place the vent handout into itunes.