Hello, students. My name is Maddie Watts and thank you for downloading this month's deep dive on the EM Clerkship podcast.

This month we put Sean through a pretty difficult trauma case and he absolutely crushed it.

So on this month's deep dive, we're going to be talking about blood transfusion in trauma.

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in trauma. For starters, we need to talk about shock in trauma. Hemorrhagic is going to be the

most common type of shock that you see in your trauma patients. Other types of shock you can

see in trauma include obstructive shock like from paracardial tamponod or tension pneumothorax

and norogenic shock from a high spinal cord injury. We're going to focus primarily on hemorrhagic

shock today. When you think about bleeding in trauma, think about the five main locations where you can bleed out.

The chest, abdomen, pelvis, long bones.

And then the last one can be the floor, the bed.

And I like to think about the scalp because it's often the one that goes missed.

A lot of times people fall backwards,

they hit their head. It's on the back occipital area that's often covered by hair or the sea collar.

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