Hemorrhagic Shock and Fluid Resuscitation in Trauma Patients: A Call to Action for Blood-Based Resuscitation

Introduction Hemorrhagic shock is a life-threatening condition that remains a leading cause of preventable deaths in trauma patients, particularly in the prehospital setting (1). Defined by a critical loss of…

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The Fatigue Epidemic in Air Medical Transport: Understanding the Physiological and Psychological Toll on Helicopter Flight Crews

Helicopter Emergency Medical Services (HEMS) provide rapid transport for critically ill and injured patients, often operating under extreme environmental and psychological conditions. The nature of their work—long shifts, unpredictable call…

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Mastering the Use of the Hypercurved Mac Blade with a Video Laryngoscope: A Comprehensive Guide

Introduction The advent of video laryngoscopy has revolutionized airway management in both pre-hospital and hospital settings, providing unparalleled visualization and improving intubation success rates【1】. However, the traditional Macintosh (Mac) blade,…

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Hospital-Acquired Pneumonia (HAP): Understanding, Complications, and Prevention

Introduction Hospital-acquired pneumonia (HAP) remains a significant concern in healthcare settings, especially among critically ill patients. It is defined as pneumonia that occurs 48 hours or more after admission, which…

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The Critical Role of Proper Ventilation: Challenges of Using a BVM with an ETT Tube

In the pre-hospital environment, paramedics often face the challenging task of managing a patient's airway under less-than-ideal conditions. Among the various tools at their disposal, the bag-valve-mask (BVM) connected to…

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The Importance of Mechanical Ventilators for Intubated Patients in the Prehospital Environment

In the high-stress prehospital environment, managing intubated patients effectively is crucial for their survival and long-term outcomes. While bag-valve-mask (BVM) devices are essential in emergencies, their prolonged use can lead…

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Improving Airway Management in Trauma: Delayed Sequence Intubation (DSI) vs. Rapid Sequence Intubation (RSI) for Prehospital Providers

Securing an airway in critically injured patients is one of the most challenging and essential tasks for prehospital providers. A recent study published in Anesthesia & Analgesia (2023) has revealed…

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