The rapid infusion pump is a mainstay of high volume trauma resuscitation. According to the manufacturers, these devices can now deliver fluids at up to 1000 ml/minute. Or can they? Here is a chart from the manufacturer of the Belmont rapid infuser. This shows the (theoretical) flow rates achievable for... Read more
Published on: 2021-07-28
This is the final installment of my series on the tertiary survey for trauma.  For years, this exam was performed by trauma surgeons or residents. However, over the years advanced practice providers (APPs) such as physician assistants and nurse practitioners have become more common in trauma. It is now commonplace... Read more
Published on: 2021-07-23
Here’s the second part in my series on the tertiary survey for trauma. In my last post I discussed the basics, and in the next and final one I’ll review who can do it. Delayed diagnoses / missed injuries are with us to stay. The typical trauma activation is a... Read more
Published on: 2021-07-20
I’m posting a three part series on the trauma tertiary survey. Today, I’ll cover the basics. In the next two posts I’ll dig into how well it works and who can do it. Major trauma victims are evaluated by a team to rapidly identify life and limb threatening injuries. This... Read more
Published on: 2021-07-16
The July issue of Trauma MedEd will be sent out to subscribers near the end of the month. It will review some topics that I find very interesting, and I hope you will to. This issue is being released to subscribers by July 30. If you sign up any time... Read more
Published on: 2021-07-14
Venous thromboembolism (VTE) remains a big problem for trauma professionals and the patients they take care of.  Every trauma center has some sort of VTE prophylaxis protocol for stratifying risk, prescribing mechanical or pharmacologic prophylaxis, and monitoring effectiveness. This is all well and good for patients in the hospital. But... Read more
Published on: 2021-07-06