Prolonged Field Care Podcast21 Okt 2024

Prolonged Field Care Podcast 203: Freeze Dried Plasma

In this episode of the PFC Podcast, Dennis and ICU doctor Doug discuss the intricacies of resuscitation techniques, focusing on the use of freeze-dried plasma (FTP) and its benefits in trauma care. They explore the physiological aspects of trauma, the role of endotheliopathy, and practical applications of FTP in emergency situations. The conversation also touches on the comparison between FTP, whole blood, and albumin, highlighting the challenges and considerations in using these fluids for resuscitation. The episode concludes with a discussion on the future of blood products in trauma care and the importance of making FTP more accessible.

Takeaways

FTP is a viable alternative to whole blood in trauma resuscitation.

Endotheliopathy of trauma can lead to widespread coagulation issues.

FTP helps stabilize the vascular endothelium during resuscitation.

Whole blood is preferred when available, especially in early resuscitation.

Albumin has limited benefits and can dilute clotting factors.

FTP has a longer shelf life and is easier to store than whole blood.

The physiological effects of trauma require careful consideration in resuscitation.

Resuscitation goals should focus on patient stability rather than strict numerical targets.

Acidosis can complicate trauma resuscitation and should be monitored closely.

Increased access to FTP could improve outcomes in trauma care.

Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(612)

288: Blood, Citrate & Cardiac Chaos – Rethinking Calcium in Prolonged Field Care

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Dr. Andre Cap to unpack the evolving role of calcium in trauma resuscitation. What started as the “new hotness” in forward bl...

20 Jul 38min

Burn Resuscitation Revelation: Fluid Restriction + Early Plasma Beats Parkland in PFC

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex to break down a hot-off-the-press retrospective study from the Journal of the American College of Surgeons titled “Chall...

16 Jul 45min

287: Drone Evacs Are Coming… But Can They Handle Real Critical Care Patients

In this episode, Dennis sits down with Brock, a civilian critical care flight paramedic who flies Medevac in the States, to break down what it actually takes to move a sick patient from point A to poi...

13 Jul 30min

War Wounds Unfiltered: Cleaning, Debridement & Why You Shouldn’t Close Early

In this high-yield episode, Dennis sits down with Dr. Jennifer Gurney, Army trauma/burn surgeon and Chief of the Joint Trauma System. They dive deep into the practical realities of wound management in...

9 Jul 52min

286: Antibiotic Resistance - Smart Stewardship in Austere Care

In this episode of the Prolonged Field Care Podcast, Dennis talks with Dr. Ryan Maves (infectious disease physician and retired military ID doc) about one of the biggest silent threats in modern comba...

6 Jul 38min

S Ketamine Mastery in Austere Care: S-Ketamine Dosing, Tricks, and TCCC Updates

S-Ketamine is now part of the TCCC pharmacopeia; you'd better understand how to use it. Dennis sits down with Pat — a veteran military anesthetist, former Danish Special Operations medical leader, and...

2 Jul 51min

PFC Podcast 285: Adapt or Die - How Ukraine is Rewriting Combat Medicine

In this powerful episode of the Prolonged Field Care Podcast, Dennis sits down with Viktoriia, Chief Medical Officer, responsible for medical care across more than 150 kilometers of active front line....

29 Jun 40min

PFC Podcast: Silent Brain Killer - SpO2 Goals, Airway Triggers & Saving Lives When Oxygen Is Scarce

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Jeff to tackle one of the most time-sensitive and under-appreciated threats in tactical and austere medicine: anoxic brain in...

25 Jun 31min