Dr. Andre Cap joins us for the first in a multi-part series covering the SMOGs En Route Damage Control Resuscitation, Blood Component/Fresh Whole Blood Use, and Blood Transfusion Related Reactions protocols. COL Cap is amongst the world's foremost experts on this topic, yet he is well aware of the capabilities and limitations of practicing pre-hospital medicine in flight. This is a detailed discussion that you'll definitely get a lot out of.
Dr. Cap mentions the PAMPER trial as well as the COMBAT trial. Both are directly relevant to our work:
- Sperry, J. L., Guyette, F. X., Brown, J. B., Yazer, M. H., Triulzi, D. J., Early-Young, B. J., ... & Zenati, M. S. (2018). Prehospital plasma during air medical transport in trauma patients at risk for hemorrhagic shock. New England Journal of Medicine, 379(4), 315-326.
- Moore, E. E., Sauaia, A., & Ghasabyan, A. (2015). COMBAT: A Prospective, Randomized Investigation of Plasma First Resuscitation for Traumatic Hemorrhage and Attenuation of Acute Coagulopathy of Trauma. University of Colorado Denver Aurora United States.
Finally, Dr. Cap describes some soon-to-be published research by the Armed Forces Medical Examiner System that may challenges some conventional wisdom, and may have implications for how we practice in the future.
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