BRIAN BURNS: TRAUMA BEFORE + BEYOND THE HOSPITAL

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Brian Burns on managing trauma patients in extremis and extreme conditions. This talk was given at SMACC 2013. Go to http://intensivecarenetwork.com/index.php/icn-activities/smacc-2013/podcasts/643 for the audio.

Transcript of BRIAN BURNS: TRAUMA BEFORE + BEYOND THE HOSPITAL

Trauma Before and Trauma Before and Beyond the HospitalBeyond the HospitalBrian BurnsBrian Burns

Role of a hospital?Role of a hospital?

InvestigateInvestigate

Diagnose Diagnose

TreatTreat

CureCure

Save Life & LimbSave Life & Limb

JimmyJimmy

Time ZeroTime Zero

VitalsVitals

RR RR 3535, SpO2 , SpO2 8888%%

SBPSBP 80 80, PR , PR 134134

GCS GCS 77

Meaningful Meaningful InterventionsInterventions

ClinicalClinical

LogisticLogistic

CognitiveCognitive

inin

GCS 7GCS 7

LogisticsLogistics

LogisticalLogistical

Time to Meaningful Interventions

? OT

Time to Meaningful Interventions

? OT

CognitiveCognitive

attentionattention

memorymemory

Cognitive Resilience Cognitive Resilience

Task PrioritisationTask Prioritisation

Task PerformanceTask Performance

Critical Decision MakingCritical Decision Making

Future?Future?

Advanced blood products Advanced blood products

REBOAREBOA

ECMOECMO

Thank youThank you

Proc (Bayl Univ Med Cent). 2010 October; 23(4): 349–354.

Advanced Decision Advanced Decision MakingMaking

FutureFuture

Intra-aortic occlusion devices?Intra-aortic occlusion devices?

ECMO?ECMO?

Tricorders?Tricorders?