What we have learned from military surgical procedures for penetrating trauma is, and I will use my own phrase, : red and yellow save a fellow, clear can kill you.
Packed red blood cells and Fresh frozen plasma in a 1:1 or 1:1.5 ratio does the best job with platelets every 6th unit blood given. Limiting the IVF to less than 2 liters for my cases is the goal and patients do better.
The anesthesiologist has too much IVF for that case IMO. We are also using adjuncts; TXA, PCC, Factor VIIa, etc.
That video has been around and I always enjoy those docs or others that have never operated on the human body explaining just how the body reacts, looks and is injured from their vantage point.
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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