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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.
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Trauma Before and Trauma Before and Beyond the HospitalBeyond the HospitalBrian BurnsBrian Burns
Role of a hospital?Role of a hospital?
InvestigateInvestigate
Diagnose Diagnose
TreatTreat
CureCure
Save Life & LimbSave Life & Limb
JimmyJimmy
Time ZeroTime Zero
VitalsVitals
RR RR 3535, SpO2 , SpO2 8888%%
SBPSBP 80 80, PR , PR 134134
GCS GCS 77
Meaningful Meaningful InterventionsInterventions
ClinicalClinical
LogisticLogistic
CognitiveCognitive
inin
GCS 7GCS 7
LogisticsLogistics
LogisticalLogistical
Time to Meaningful Interventions
? OT
Time to Meaningful Interventions
? OT
CognitiveCognitive
attentionattention
memorymemory
Cognitive Resilience Cognitive Resilience
Task PrioritisationTask Prioritisation
Task PerformanceTask Performance
Critical Decision MakingCritical Decision Making
Future?Future?
Advanced blood products Advanced blood products
REBOAREBOA
ECMOECMO
Thank youThank you
Proc (Bayl Univ Med Cent). 2010 October; 23(4): 349–354.
Advanced Decision Advanced Decision MakingMaking
FutureFuture
Intra-aortic occlusion devices?Intra-aortic occlusion devices?
ECMO?ECMO?
Tricorders?Tricorders?
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