Prehospital Trauma Life Support (PHTLS)

Artificial Blood Products Worsen Outcomes

Jeffrey Guy MD EMT-P FACS — Sun, 04 May 2008 10:46:39 GMT

In this week's Journal of the American Medical Association a meta-analysis was published that concluded that use of hemoglobin based blood substitutes result in an increased morbidity and mortality. Included in the same journal is an editorial critical of the method the research has been regulated by the US FDA. This published research may have profound impact on the future of artificial blood development and applications in both civilian and military prehopsital care. Furthermore, these findings may impact the method that research is conducted in the prehospital environment in the future.

Trauma A to Z: Rapid Assessment

Jeffrey Guy MD EMT-P FACS — Thu, 17 Apr 2008 20:46:16 GMT

PHTLS Preconfrence at the 2008 JEMS meeting in Baltimore, MD. Will Chapleau, EMT-P, RN, TNS discusses the topic of rapid assessment of the trauma patient.

Trauma A to Z: Abdominal Trauma

Jeffrey Guy MD EMT-P FACS — Tue, 29 Apr 2008 23:08:26 GMT

Greg Chapman, RRT, NREMT-P, presents a discussion of abdominal trauma at the PHTLS preconference, Trauma A to Z. JEMS Conference, February 2008, Baltimore, MD.

Smoke Inhalation: Carbon monoxide and cyanide poisoning

Jeffrey Guy MD EMT-P FACS — Mon, 15 Oct 2007 19:09:25 GMT

With the onset of fall and winter, the cold weather will bring an increase in structure fires. Inhalation of smoke results in more death instructure fires than burns. In the US, a new drug that has been available in Europe for a decade to treat cyanide poisoning. These issues are taught in this podcast.

Heat Related Illness

Jeffrey Guy MD EMT-P FACS — Sat, 15 Sep 2007 08:23:22 GMT

Over the month of August, it is reported that 50 people in the US lost their lives as as result of the warm temperatures. Warm temperatures and heat releated illness are actually a very common of environmental illness. The prehospital provider will be treat heat related illness not only in summer months, but also in military setttings, frontier environments, and in the setting of athletic events. Furthermore, public safety officials such as fire, police, and EMS are also at risk for heat related illness in the course of duty. These conditions are often life-threating.

Crush Syndrome: complication of earthquakes and cave-ins

Jeffrey Guy MD EMT-P FACS — Sun, 19 Aug 2007 20:11:59 GMT

Given the recent events of the mine cave-in in Utah and the earthquake in Peru, it is an appropirate opportunity to review crush syndrome.

Airway and Ventilation

Jeffrey Guy MD EMT-P FACS — Sun, 19 Aug 2007 20:03:03 GMT

Airway. This is a discussion of the concepts in the airway and ventilation chapter of the PHTLS textbook.

Prehopsital Intubation with Traumatic Brain Injury

Jeffrey Guy MD EMT-P FACS — Wed, 25 Jul 2007 21:37:44 GMT

What is the effect of prehospital intubation on patient outcomes following traumatic brain injury. This episode will examine the scientific data.

Burn Injuries

Jeffrey Guy MD EMT-P FACS — Sat, 07 Jul 2007 23:36:33 GMT

Burn injuries are common this time of year with back yard grilling, lawn mowers,and camping. This episode will discuss some basic in the care of thermal burns.

Bomb and Blast Injuries

Jeffrey Guy MD EMT-P FACS — Fri, 29 Jun 2007 17:44:14 GMT

Bombings have been demonstrated to be a very effective tool of terrorist to produce a large amount of injuries and terror. The injuries from bomb and blast injuries have some unique properties. This episode will explain the properties of a blast injury and provide an introduction to the nature of these types of injuries.

Fluid Resuscitation: what's new?

Jeffrey Guy MD EMT-P FACS — Wed, 20 Jun 2007 23:32:45 GMT

In cases of blood loss, methods of prehospital fluid resuscitation may actually worsen the patient's condition. This episode will explore the recent scientific literature in fluid resuscitation of the trauma victim.

Introduction to IV fluids

Jeffrey Guy MD EMT-P FACS — Tue, 12 Jun 2007 22:08:01 GMT

What is the difference between crystalloids and colloids? What are the fluid compartments of the body? How much IV fluid is needed to replace a blood loss of 1000 mL. IV fluid replacement can be very confusing. There is a large amount of discussion in the scientific medical journals about fluid resuscitation in trauma care. This podcast is a brief introduction of some of the concepts and terms of IV fluid therapy. Also presented is the science as to why IV fluid therapy is so ineffective in volume expansion.

Pelvic Fractures

Jeffrey Guy MD EMT-P FACS — Thu, 07 Jun 2007 08:20:25 GMT

Pelvic fractures can lead to rapidly fatal blood loss. This episode we present the various type of pelvic fractures as well as the challanges of providing prehospital care of these patients. Finally, a recent journal article regarding pelvic binders is reviewed.

Intraosseous Vascular Access

Jeffrey Guy MD EMT-P FACS — Wed, 06 Jun 2007 08:37:09 GMT

IO access is often thought by many to be used only for pediatric patients. Hardly. IO access was designed over 80 years ago for use in adult trauma patients. Learn how this rapid and reliable technique of obtaining venous access may be used in the care of your trauma patients.