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In my last post, I provided information on the history of the mechanical CPR device. Today I’ll examine the results of a paper published just two weeks ago that studied the rates of favorable neurological survival and overall survival to discharge in patients treated with this device.
A small group of researchers from St. Luke’s Hospital in Kansas City, Emory Universit...
It’s very common to see major trauma patients arriving in the trauma bay with a mechanical CPR device strapped to their chest, pounding away. How did this idea start? How effective are they? As you know, anything entrenched in our daily practice to the point that we don’t even question it is fair game for scrutiny in this blog.
I’ve seen these devices used in my trauma...
Nearly universally, trauma surgeons at Level I and Level II trauma centers must be at the bedside within 15 minutes of the patient’s arrival. For most, this means that they must take in-house call. This requirement has been on the books for decades. It’s just the way we do it. And that makes it fair game to examine whether it is worth the extra work.
An older prospecti...
Resuscitative thoracotomy is a (sometimes) life-saving procedure reserved for trauma patients in extremis. Thankfully, most trauma centers do very few of these a year. However, that makes it one of those “high severity – low frequency” procedures that generate many, many quality improvement problems. Many of these issues are due to operator unfamiliarity or equipment availabi...
I analyzed the first of two PI clock scenarios in my last post. They are not always as obvious as they seem. Now let’s look at the second case:
A young male is involved in a motor vehicle crash and strikes his head. He enters your trauma center at exactly midnight as a trauma activation. Head CT shows a 7mm epidural hematoma with no shift and no effacement. GCS is ...