brian burns: trauma before + beyond the hospital
DESCRIPTION
Brian Burns on managing trauma patients in extremis and extreme conditions. This talk was given at SMACC 2013. Go to http://intensivecarenetwork.com/index.php/icn-activities/smacc-2013/podcasts/643 for the audio.TRANSCRIPT
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Trauma Before and Trauma Before and Beyond the HospitalBeyond the HospitalBrian BurnsBrian Burns
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Role of a hospital?Role of a hospital?
InvestigateInvestigate
Diagnose Diagnose
TreatTreat
CureCure
Save Life & LimbSave Life & Limb
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JimmyJimmy
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Time ZeroTime Zero
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VitalsVitals
RR RR 3535, SpO2 , SpO2 8888%%
SBPSBP 80 80, PR , PR 134134
GCS GCS 77
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Meaningful Meaningful InterventionsInterventions
ClinicalClinical
LogisticLogistic
CognitiveCognitive
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inin
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GCS 7GCS 7
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LogisticsLogistics
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LogisticalLogistical
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Time to Meaningful Interventions
? OT
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Time to Meaningful Interventions
? OT
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CognitiveCognitive
attentionattention
memorymemory
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Cognitive Resilience Cognitive Resilience
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Task PrioritisationTask Prioritisation
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Task PerformanceTask Performance
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Critical Decision MakingCritical Decision Making
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Future?Future?
Advanced blood products Advanced blood products
REBOAREBOA
ECMOECMO
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Thank youThank you
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Proc (Bayl Univ Med Cent). 2010 October; 23(4): 349–354.
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Advanced Decision Advanced Decision MakingMaking
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FutureFuture
Intra-aortic occlusion devices?Intra-aortic occlusion devices?
ECMO?ECMO?
Tricorders?Tricorders?
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