I recently brought him to our EM Critical Care Grand Rounds at @stonybrookem
He gave two fantastic lectures! I then brought him back to EMCrit Studios to record a few of the take-home lessons from his talks.
See Cases from the Races on the RagePodcast site to see the inspiration for this ‘cast.
Blunt Traumatic Arrest: a Road Racing Doc's Approach
If the patient is in blunt traumatic arrest, John and his team immediately perform the following before any further assessment:
- Intubation using a bougie and confirmed by waveform CO2
- Perform Bilateral Finger Thoracostomy
- Place Pelvic Compression Device
- Straighten Long Bone Fractures to Length
- Administer Fluid Bolus (Administer Blood if In-Hospital)
Only then reassess and decide what to do
Airway positioning and rescue ventilation can save a life
More on this soon when the Wilson, Hinds, Davies study is published. Until then, see the LiTFL CCC Entry
Central Line Placement
In John's unit, they use infraclavicular left subclavian for all ICU CVC placements