Hey folks, Scott Weingart here, and this is another M-Crit episode of Galley Grills, in

which my resus buddy, Sam Galley, sends me a question.

This time it was an audio question, you'll actually hear the question he sent me.

And instead of having an email back and forth, we just record it.

And that way you could benefit from the grilling as well.

Now, Sam doesn't let me get away with anything.

That's the whole purpose of this show, is the things that I have just accepted as fact,

Sam actually interrogates and makes me try to come back to first principles and justify

it.

Sometimes I am successful, oftentimes I am not, and that exercise is super beneficial.

And hopefully you enjoy it as well.

If you like this one, go back to the first episode, and you will like that one, I think,

if you like this one.

Now, I'm sure this is going to engender comments.

Just put them in the show notes for this episode, and both Sam and I will reply and doesn't

mean we will give you a good answer, but it means you will get some answer.

So let's run right into Sam's original question.

All right, Scott, here's a scenario, young person, GSW's to the belly, they're in Florida,

a mirage shock, IE, activate mass transfusion, pop and accordus, they get some TXA, blood

products are flowing in, but they don't look any better, teetering on peri-rest.

You know this is going to be something nasty, like an IVC injury.

There's ongoing resuscitation, and you know that the best thing for this patient is to

...