Trauma Triad of Death

Get the lesson outline here: www.miglabs.com...
The trauma triad of death: hypothermia, acidosis, and coagulopathy. Mortality rates for trauma patients in the triad of death range from 50% to 90% - not good. However, there are a handful of relatively simply interventions that we can do to prevent our patients from entering the trauma triad of death.
Music:
That Sunny Day by Kronicle - / that-sunny-day
Green by X I X X - / green

[@denysephenix2349]

I remember long ago , i was around 12 years old , and my girlfriend and I saw a young man flying over a car after being cut off by a turning car and the young man was on a scooter , he could not avoid hiitting the car as he had no warning that the person in the car did not put their flashers on... I had went to see a dentist , 2 weeks before and while I was waiting I read a pamphlet on first aid .. I remember reading that if a person has a gray complexion after an accident , you must keep that person alive by keeping them warm.. The young man was unconscious and I immediatly asked a woman in an appartement above the site of the accident to bring blankets to keep the young man warm.. She did so , so without moving him , I placed the blanket over him to keep him warm.. until the medics came.. they brought him to the hospital and I found out later while visiting him and my grandmother... the young man told me that he had a fractured pelvis and had interior hemorrhaging. . The best part was that I knew this 17 year old , he lived on my street but at the accident site , I did not recognize him... I still remember that day as if it were yesterday.

[@blisseta1089]

To the point! Excellent presentation! Thank you for sharing!

[@adamgarceau]

This was so eye-opening! I'm teaching a trauma class to a group of soldiers next month and this will help them understand why we are doing certain interventions. Can you tell me what study was done by the Army?

[@Gnaw85]

Adam Garceau here's the studying he's referring to: Nessen SC, Lounsbury DE, Hetz SP. War Surgery in Afghanistan and Iraq: A Series of Cases, 2003-2007. Office of The Surgeon General, Department of the Army, United States of America; 2008.

[@vickygreenday.4404]

Very important information i will adopt this all while giving resusitation to patient. Thsnks a lot.

[@odweeambrose5979]

Some of the the link for those studies , I am doing study in on lethal triad of trauma

[@chrispinmwando225]

thankyou so much for this resource

[@hadeelhassenaltalhi5365]

Thank you so much this was so helpful

[@Bill.R.124]

Thanks. Helpful! Sidenote: it's pronounced "co-ag-u-LOP-a-thy."

[@Japhet.B]

Could you please provide a link to those study conducted?

[@ArcticCenter3773]

Hello and thank you for your video! The part passed coagulopathy-limit fluid admin in the last part of your video starts to cut in and out of sound.

[@Miglabs]

Hi Daniel. I've gone and played the video around the time segment that you're describing, but I can't find any audio problems. Can you give me the exact timestamp where you're noticing problems? We'll get this worked out ASAP!

[@ACoupleNurses]

Great Video Man

[@cheetyliciousmeowmeow1085]

I have almost died twice due to negligence from hospital staff. Hypothemia is serious..... The second time it happened the last thing I remember is the fricking nurses talking about their weekend in next room....terrible PEOPLE LIKE ME....PLEASE GET MEDICAL ALERT BRACLET

[@ThisEpicLife]

I'm sorry to hear this. It may help though, if you let us know what your underlying medical problem is? How/why did you initially become hypothermic?

[@gvaralakshmi1650]

Thank you

[@condhor]

Hey there, do you have the sources you referenced that you can link to? I'd love to read through them and share.

[@Miglabs]

Absolutely! References are on page 5: drive.google.com/open?id=1wfq4qbs73HGlZpOPd_xGQHfD2WMP53LZ

[@condhor]

Awesome, thank you so much!

[@Raxorium]

thanks a lot!

[@BrunaFerro]

Your pdf link is broken :(

[@amazingabby25]

Is it normally homeless that come in in those shapes?

[@ThisEpicLife]

Hi. This isn't my channel, but I am an experienced paramedic (field-supervisor) and trainer. I've been working 27 years in a high call-volume area. So I'll take a stab at this (since it's been four-years, and you still haven't had a reply lol): In my experience, there is definitely a higher-than-average-risk of this with homeless patients, but it's not at all unique to them. Imagine for example a car accident in which a car slides off the road and down an icy embankment. It may take ten or twenty minutes for us to get to the scene. Then another twenty or thirty minutes using the Jaws-of-Life, extricating them from the vehicle. Then another couple of minutes securing them to a spinal backboard, and loading them onto the cot... Another example we sometimes see might be the elderly patient who falls on an icy porch. Perhaps she breaks a hip, and is already disadvantaged because she takes blood-thinners. She may lie there for a long time on the cold sidewalk before anyone realizes that she needs help. I could give other examples, but the short answer is that the homeless most definitely run a much higher risk than the general population, but it can happen to anyone, and it can happen fairly quickly. :) Great question.

[@amazingabby25]

@@ThisEpicLife Wow! Thank you so much for your thoughtful response. I did intakes at a detox, at the time of making this comment. We often had homeless patients come in either post OD, or picked up by EMS drunk, or came in themselves where hypothermia was mentioned in their charts. This opened my eyes that it wasn’t just ODs that had patients close to death. I guess I didn’t even think about someone in a car accident or an elderly lady who slipped outside getting her trash with some underlying issues who was left in the cold for a long period. Thank you for answer. I left the field due to burn out but I’d love to go back

[@amazingabby25]

@@ThisEpicLife And sadly, right after i made this comment…a friend of ours mother died slipping on ice taking out the trash. Cause of death was hypothermia, although she had underlying kidney failure. (She was 92 and didn’t go to the doctor). She likely suffered a lot, and it’s really awful to think about. I’m guessing EMS see this ALOT. Bless you guys, what a horrible and difficult job

[@nikkij4873]

Life is crazy. It's really amazing that you responded so wonderfully to a comment four years old. And that this person responded back! It's pretty chilling no pun intended that you mentioned the elderly lady falling in ice and then that happened to this person's mother's friend right after. What a tragedy. I can't imagine a 92 year old taking out the trash, let alone in the cold! She sounds like she was one tough cookie.