Tamingthesru
Crew Resource Management
We kick off the Air Care & Mobile Care Online Orientation with posts on some of the most important aspects of helicopter EMS - safety, survival and the basics of operating around the helicopter as a crew member. We’ll start off by talking about Crew Resource Management (CRM). In this first podcast, chief pilot Bob Francis, flight nurse Dennis Schmidt, and Dr. Ryan Gerecht sit down and talk about the basics of CRM and what it means to pilots and flight crew.
Lessons in Transport - Hypotensive Resuscitation
Permissive Hypotensionis also known as hypotensive resuscitation or low volume resuscitation
What is it?
A resuscitation strategy in the critically ill trauma patient (primarily applicable to penetrating trauma but also adapted to blunt trauma) where we allow the systolic BP to remain as low as necessary to avoid exsanguination while still maintaining critical end organ perfusion. (typically defined as appropriate mental status & or the presence of a radial pulse)
The Thought Process:"Don't pop the clot"...
By allowing lower blood pressures we avoid the potential disruption of an unstable fresh clot and thus worsening bleeding caused by higher BP's.
Lessons in Transport - The Lethal Triad
To successfully resuscitate the critically ill trauma patient we must have an understanding of and a respect for the LETHAL TRIAD of TRAUMA...
Bleeding causes acidosis, coagulopathy, and hypothermia...
Acidosis and hypothermia causes more coagulopathy which causes more bleeding... and so begins a deadly cycle