trauma

Intraosseous (IO) Access

Intraosseous (IO) access is a quick, relatively inexpensive, and simple route for obtaining “central” access in trauma and resuscitation settings when peripheral access is difficult to acquire. When placing an IO line, care must...

The Lethal Triad In Trauma

The lethal triad in trauma - acidosis, hypothermia, and coagulopathy - defines much of what I do in the ICU and cardiothoracic ORs. It’s important to appreciate the interplay between these three derangements, anticipate...

Blakemore Tube

Blakemore tubes (and their analogues like Minnesota tubes) are rarely used in the modern day of endoscopy but can still have a role in the acute setting of GI variceal bleeding. These tubes are...

ATLS – Airway And Shock

Prevention of hypoxemia requires a protected, unobstructed airway and adequate ventilation which takes priority over managing all other conditions. How do you know the airway is adequate? The patient is alert, oriented, and talking...

Advanced Trauma Life Support (ATLS) Training

As of yesterday, I'm officially certified in Advanced Trauma Life Support (ATLS) for the next four years! This two day course was required and paid for by my critical care fellowship, so I wanted...

Central Line Versus Peripheral IV Flow Rates In Resuscitation

The indications for central venous catheters (CVCs) include invasive hemodynamic monitoring, transvenous cardiac pacing, hemodialysis, lack of peripheral venous access, administration of vasopressors, nutritional support, and in some texts.... volume resuscitation. It's this last one that...

Who Do We Save?

Trauma anesthesia is a whole different game - you never know what could roll through the door at a moment's notice. Some patients are innocent victims of car accidents, crossfire, or simply being in...

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