Gunshot Wound with Hemodynamic Collapse Pt. 1 - Reel Emergency Episode 3

[@jesse00pno]

Paramedic x 21 years in NC. I’m ten minutes in and this is one of the coolest learning experiences I’ve ever experienced. This is an AMAZING format for teaching!!!

[@reelemergency]

Glad you enjoyed it!

[@b2chex]

I’ve given blood several times with Cypress Creek. It is amazing and proud to be with Cypress Creek.

[@hilarygates9918]

Outstanding service, thank you for donating!

[@nichijou_cargo6476]

What an awesome video! As a paramedic, I appreciate the prehospital perspectives from the docs.

[@hilarygates9918]

Agree 100%! Thanks for watching!

[@carsonfarist8590]

Amen I just have to say praise GOD I have nothing to fear or worry about because I’m saved and going home are you? Turn to the LORD and have all!!!! GOD bless you all keep doing for the LORD using your special gift amen hallelujah praise GOD!!! GOD bless all!!! Amen GOD is so good amen!!!!

[@carsonfarist8590]

@@hilarygates9918 Amen I just have to say praise GOD I have nothing to fear or worry about because I’m saved and going home are you? Turn to the LORD and have all!!!! GOD bless you all keep doing for the LORD using your special gift amen hallelujah praise GOD!!! GOD bless all!!! Amen GOD is so good amen!!!!

[@andrewisok]

Phenomenal job by Cypress Creek. Thanks for sharing

[@hilarygates9918]

We agree about CCEMS... thanks for watching!

[@ambroisepare614]

Absolutely great point from Patrick! RSI and intubation in periarrest situation is extremely dangerous, and beside, intubation never stopped any bleeding ( i'm speaking of experience..)

[@kodinbrand8545]

M .njnll Elele😊

[@aaronschiff7335]

I absolutely love these educational videos! What a great way to learn. Keep them coming! Thanks!

[@hilarygates6610]

Thanks for watching! Next episode is December 13 at 1 pm. Registration coming soon.

[@alyssawhite3651]

Thank you for these videos! I am in the field of military pre-hospital medicine and getting blood delivered earlier and faster, especially whole blood, has been the big push in pre-hospital field care. Its interesting to see what information the civilian side has to compare with military medicine. Low titer whole blood has been a big push for us as well. We usually use pressure bags for the blood which with a 16g- 14g catheter and no saline lock we can get it in in about 2-3 min. The life flow device looks promising though I would be concerned about the different tubing that it has and the device itself getting lost in transport/evac.

[@reelemergency]

Thankfully whole blood is becoming more common in EMS! Thanks for watching.

[@curt2827]

Interesting Video, RSI in a patient with haemorrhagic shock is always a very risky endeavor. If the patient is shocked prior to RSI they are highly likely to be shocked post intubation with the high risk of hypoxia and hypotension with the induction medications, even with a unit or two of blood. Load and go is the best option with these patients, they generally need to be enrolled in massive transfusion protocols in hospital prior to RSI. The finger was well called for

[@reelemergency]

Thanks, Curt! Luckily, the EMS clinicians gave this patient blood in the field, which contributed to his good outcome.

[@DanielSRosehill]

This is amazing content!

[@reelemergency]

Thanks for watching! Register for our 3/20 episode here: prodigyems.zoom.us/meeting/register/tZwsde-gqjopHNLfalD8Vpvdbr29z-0uve8A

[@njp101]

Beautiful.

[@robertcupps8243]

Absolutely outstanding

[@hilarygates9918]

Thank you, Robert! We'll be broadcasting #8 in mid-Jan. 2022.

[@RVFireFighter]

love these educational videos! I'm surprised you have those open-wound earrings in your ears where Splash contaminants can get in.

[@domingoguerrero3753]

Great video! So going back to the question of what to do without blood, what do you think about making the tank smaller. Would you consider giving push dose presser epi 1:100K q 3 minutes to help maintain blood pressure until you get to the hospital?

[@reelemergency]

Dr. Piehl's answer is that Epi without first filling the tank is associated with higher mortality. Hope this helps and thanks for watching!

[@armyguru1214]

In the future just play the raw footage through then take the time to break it down.

[@hilarygates6610]

Thanks for the feedback!

[@robertcupps8243]

Hey is there the ability to watch these video cast live. I really like this and had some comments but unfortunately just watched this

[@hilarygates9918]

Yes! Follow us @reelemergency on Twitter & FB and you'll see the reg links a few weeks before the episode. Next one will be 1/13/22.

[@kevinmathewson4272]

I'm a lay person (undergrad bio degree). At 20:34 Dr. Georgoff mentions that positive pressure ventilation will reduce venous return. Why? Is this because the positive pressure in the lungs compresses the heart? Would really appreciate some clarification.

[@reelemergency]

exactly right!

[@Michael-oo4yc]

At the age of 16 I shot myself in the head with a .357magnum I'm 47 now

[@thomasdoty3514]

How do I get the CE for this? I know you mentioned scanning the QR code, but I don’t see one with this KZbin video.

[@reelemergency]

Head over to www.prodigyems.com and you can get your CE!