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The Resus Room

External Haemorrhage; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 20 June 2018

⏱️ 42 minutes

🧾️ Download transcript

Summary

Managing external haemorrhage is easy right?! Then why does haemorrhage remain a major cause of death from trauma worldwide? Ok, some of that is from internal sources, but….

No one should die from compressible external haemorrhage

With the right treatment applied in a timely fashion, the vast majority of these bleeds can be stopped. But with new advances like haemostatic agents, changing advice surrounding tourniquet use and practice changing evidence coming out of conflict zones can mean it’s difficult to remain current with the latest best practice.

So what options are available to us, how do we use them and what’s the evidence. Here’s the line-up for this months’ podcast:

  • Haemorrhage control ladder
  • Evidence based guidelines on haemorrhage control
  • Direct pressure
  • Enhanced pressure dressings
  • Haemostatic agents and wound packing
  • Tourniquets
  • Case studies

As always we welcome feedback via the website or on Twitter and we look forward to your engagement.

Enjoy!

SimonRob & James

 

References & Further Reading

Bennett, B. L & Littlejohn, L. (2014) Review of new topical hemostatic dressings for combat casualty care. Military Medicine. Volume 179, number 5, pp497-514.

Lee, C., Porter, K. M & Hodgetts, T. J. (2007) Tourniquet use in the civilian prehospital setting. Emergency Medicine Journal. Volume 24, pp584-7. 

Nutbeam, T & Boylan, M. (2013) ABC of prehospital emergency medicine. Wiley Blackwell. London.

Shokrollahi, K., Sharma, H & Gakhar, H. (2008) A technique for temporary control of haemorrhage. The Journal of Emergency Medicine. Volume 34, number 3, pp319-20.

Trauma! Extremity Arterial Hemorrhage; LITFL 

The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Rolf Rossaint. Critical Care 2016.

NICE 2016. Major Trauma; Assessment and Initial Management

FPHC 2017; Position statement on the application of Tourniquets

 

 

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.9

Five, four, three, two, one, fire.

0:12.9

So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.

0:17.4

I'm Rob Fenwick, and I'm James Yates.

0:19.6

And I am exceptionally ignorant about the topic

0:22.4

we're going to be talking about today. So we're going to be covering external hemorrhage and I am

0:27.8

just going to sit back, stop pretending I know about the topic that we're going to be covering and

0:33.0

enjoy what you two gents are going to be running through. So before we get an outline of what we're going to be covering, a huge thanks.

0:40.0

Yes again to AdPrak for being the sponsors of our podcast.

0:43.9

They're a high-quality advanced clinical practitioner group that cover EDs up and down the country.

0:49.2

So if you want to be part of their service, then get in touch via the link on the website.

0:53.8

So guys, what exactly are we going to be

0:56.5

covering about external hemorrhage? We're going to cover absolutely everything about

1:01.0

external hemorrhage. Look no further than this podcast. I say, chuckling. No rock left

1:07.9

unturned. That's right. Three hours later, you will have all the knowledge you need.

1:13.8

Listen, I tweeted that this is going to be a quick one, boy, so come on.

1:16.5

We can do this.

1:17.7

We can totally do this.

1:18.5

We've got stuff to do.

1:19.4

We've got stuff to do.

1:20.5

So actually, we are going to try and keep it short.

1:22.5

We are going to try and keep it punchy.

...

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