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I have only the highest respect for all of the medical providers like the PJ's on that show but I sincerely hope that all field practice is critiqued/reviewed so that other providers can be better educated to provide even better front line trauma care.......
SFC McNabbs death was tragic and emotional on all fronts and I don't want to second guess the medical personnel that rescue, treat and transport a victim but with a blast that causes a triple amputation like his, there are a few other potential life saving maneuvers that ?? could have been done and infact may have but we as viewers didn't see evidence of it. Decompressing both chests for punctured lungs which is common after a blast injury, running blood through 2 sites not 1....again, I'm not trying the do an AAR since I wasn't there and don't know all that was attempted or done and with such severe wounds, his death was likely inevidable, but......as a trauma surgeon, the idea of forward advanced practitioners with even higher level training and competence seems plausable/reasonable with the horrific wounds seen in this conflict...[where are the 18D's??]
The episode where the PJ had to do a cricothyrotomy; his first, should have been a routine case despite never having done it to a live patient...his practice time should have been 'exhaustive' so that it was almost routine which when I watched that scene a few times, was not 'routine' appearing (I know, TV editing likely was at play).
I feel helpless watching that show, wanting to reach out and help....one of my greatest self disappointments was never having served/being able to use my skills on the hero's that are at war. My involvement with law enforcement as a tactical medical provider is as close as I get and a small way to 'pay back' those that serve.
Respectfully,
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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), here are the first four shows. 
Linear Mode
