Tampons in Bullet Holes (Again)

[Muppet]

We have not had it very long, and I think the only reason the hospital bought into it was because it's ATLS 'best practice.' I have been shocked at how many hospitals don't have it, though.

There is only so much you can do to affect a positive outcome in the field for trauma and I just don't understand the intransigence of some people who want to limit the very few tools in the toolbox. There are several drugs in the drug box the medic will almost never give, yet "protocol" demand they stay in the drug box, even if they have to be recycled every 'n' years because they expire. The illogic is boggling.

Agreed

 

[policemedic]

I'm aware on the second part, just never really dug into it before.

I know EMS is starting to see it, here in PA it's being discussed, not sure if it will make it in urban/suburban settings where we are trauma center dense.

Philly is doing it.

 

[policemedic]

Yeah. In all cases the best fix is bright lights and cold steel. As long as these protocols do not inhibit transfer time, I am all about it. The argument of distance is great and I agree, that one unit in transport could be the difference.

In other news, my hospital doesn’t even have whole blood.

Time on scene is not the bugaboo many people make it out to be.

 

[policemedic]

Philly is doing it.

Also coming soon: POCUS

 

[TLDR20]

Time on scene is not the bugaboo many people make it out to be.

Can you explain what you mean?