Trauma - @ JEMS.com

Trauma

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Point-of-Care Hemorrhage Control

JEMS Medical Editor Ed Dickinson shares his approach to external hemorrhage control based on his many years of clinical experience in the field and in the ED, evaluation of the medical literature and use of common sense.

Posted Thursday, November 7, 2013

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Stop the Bleeding

Despite major advances in trauma care and medical devices, massive hemorrhage continues to have significant morbidity and mortality. Adequate hemorrhage control must take place in the prehospital environment, and EMS systems must keep pace with changing protocols.

Posted Thursday, November 7, 2013

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Every Red Blood Cell Counts

Controlling compressible hemorrhage is the highest medical priority for improving survival in trauma cases. Now there is a new, simple and effective tool that will transform the way bleeding, particularly difficult-to-control bleeding, is managed in the field: the iTClamp50.

Posted Thursday, November 7, 2013

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How the iTClamp Works

The iTClamp is a new hemorrhage-control device that converts an open bleeding wound into a closed wound, which then allows a stable clot to form in the contained space, ultimately tamponading the bleeding vessel. Dr. Joe Holley explains how it works.

Posted Thursday, November 7, 2013

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A New Tool in the Box

Tourniquets are a valuable, life-saving tool, and providers should be well-versed in their use to control bleeding and prevent hypoxia. However, they do prevent blood flow to areas distal to the tourniquet application, which can in turn induce stagnant hypoxia. Jason Clark reports on the first in-the-field use of the iTClamp, a new device designed to control bleeding but still allow blood flow to distal areas.

Posted Thursday, November 7, 2013

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Training & Speed Are Crucial

Uncontrolled hemorrhage also results in the death of a large number of civilian trauma fatalities each year. Recent military conflicts have led to many new and novel approaches, as well as clarified the appropriate application of current tools.

Posted Thursday, November 7, 2013

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Driver Traps Foot in Construction Machinery

First responders treat and package a man who wedged his foot in a Bobcat front-end loader.

Posted Wednesday, August 14, 2013

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Motor Vehicle Crash Patient Presents Puzzling Trauma Injury

A crashed minivan, an obese man trapped inside, extreme blood loss and a trauma injury that puzzles rescuers.

Posted Friday, July 19, 2013

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Treating Sucking Chest Wounds and Other Traumatic Chest Injuries

Understanding the anatomy of the chest, the mechanics of breathing and the mechanism of injury will help with anticipation of clinical deterioration and preparation for additional lifesaving procedures.

Posted Friday, July 19, 2013


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