bare knuckle trauma debate: there's no denying it - prehospital doctors add plenty of value in...

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Bare knuckle knock out Prehospital doctors add little value in trauma??

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Page 1: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Bare knuckle knock out

Prehospital doctors add little value in trauma??

Page 2: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Conflict of interest

Page 3: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Lets face it…

(most) (current) prehostpial EBM is B.S.

- Bias- Notoriously difficult- Methodologically flawed…

*Bit Scanty…. Brilliantly subjective....

Page 4: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Reality is: We want (our patients deserve)

Same level + standard of care as IN hospital

Page 5: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Reality is: We want (our patients deserve)

Seamless patient journey

Page 6: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

The beginning (or the end) of the trauma chain of survival…

Page 7: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Prehospital doctors in the field

Page 8: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 9: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Prehospital doctor as Trauma Team leaders

Page 10: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Prehospital doctor(s) in the trauma bay

Page 11: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Prehospitaldoctors in OR

Gas-docs

Page 12: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Prehospitaldoctors in OR

Surgeons

Page 13: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Pre hospital ICU doctors

Page 14: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Family physicians, Cardiologist, neonatologist

Page 15: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Bridges not walls

Page 16: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

LEADERSHIP

Page 17: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

KNOWLEDGE

Page 18: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

ADDITIONAL SKILLS AND TRAINING

Page 19: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

DECISION MAKING

Page 20: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

ANTICIPATED CLINICAL CAUSE

Page 21: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

INNOVATION

Page 22: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

COLLABORATION

Page 23: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

VISION

Page 24: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Prehospital teams

Page 25: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Hospital teams

Page 26: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Research teams

Page 27: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Simulation teams

Page 28: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

unpublished ‘truth’

EVERY DAY

ALL OVER THE GLOBE

PREHOSPITAL DOCTORS

ARE HELPING TO SAVE LIVES

Page 29: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Don’t take my word for it…

Page 30: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

Legion of extraordinary gentlemen and gentle-ladies

Page 31: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 32: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 33: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 34: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 35: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 36: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 37: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 38: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 39: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 40: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 41: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 42: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 43: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 44: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 45: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 46: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 47: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 48: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 49: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 50: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 51: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 52: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 53: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 54: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 55: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 56: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 57: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 58: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 59: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 60: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 61: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 62: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 63: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 64: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 65: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 66: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 67: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 68: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 69: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 70: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 71: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 72: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 73: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 74: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 75: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 76: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 77: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 78: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 79: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 80: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 81: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 82: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 83: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 84: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 85: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 86: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 87: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 88: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 89: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON
Page 90: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

…we ARE many

...we CARE a lot

Page 91: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

You dare say we add little….?

Really? REALLY? No, I say,

“a HELL of a LOT” doesn’t even cover it

Page 92: Bare Knuckle Trauma Debate: There's no denying it - Prehospital doctors add plenty of value in trauma CON

“Honourable intentions”“Meaningful interventions”

Dr. John Hinds (1980- 2015)