Being stuck in a trauma situation is bad - increase in mortality when longer pre-hospital time to in-hospital trauma care. What analgesia you use to facilitate movement and transfer is vital #DAS2022
Pre-hospital blood transfusion, the evidence is still out on this. Can be used as a temporary measure but obviously can't carry enough for a massive haemorrhage scenario #DAS2022
Where next? Whole blood transfusion and FFP trials in pre-hospital trauma care coming soon....#DAS2022
But what about airway management in pre-hospital care? Pre-hospital intubation threshold will vary between teams and the data for trauma patients is mixed - so why do we anaesthetise these patients? #DAS2022
Some very clear reasons to intubate these patients but also nuance to this and the decision whether to intubate or not, can be to facilitate other interventions. Reflecting on the management of such patients is important #DAS2022
"Pre-hospital anaesthesia is no longer the poor relative of high quality in-hospital emergency airway management." What is higher risk is everything else!
Management of the airway in PHEM is part of the puzzle, timing is key, the airways aren't more or less tricky, the environment might be and the team matters.
Love the last point - the team really really matters #DAS2022
Love the last point - the team really really matters #DAS2022
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