Podcat 081 – An Interview on Severe Trauma with Karim Brohi - a podcast by Scott D. Weingart, MD FCCM

Yearning for some trauma aren't you?

Today I got a chance to interview Karim Brohi (@karimbrohi). He is a trauma and vascular surgeon in London and runs the incredible Trauma.org site. Dr. Brohi has consistently been on the cutting edge of hypotensive resuscitation, hemostatic resuscitation, and massive transfusion.

Dr. Brohi's Lecture on Hypotensive Resuscitation

Dr. Brohi gave an amazing lecture on hypotensive resuscitation. I highly recommend giving it a viewing.



You can view the lecture here;







or on the trauma.org site.



Here are the questions that remained after watching that lecture:



What is the MAP goal you use for resuscitation of unstable hemorrhage patients?



What are you doing with your suspected intracranial bleed patients with concomitant hemorrhage on call today?



What do you think of Dutton's idea of high flow, low pressure resuscitation using solely FFP/Blood as resus fluid and fentanyl to cause sympatholysis?

Traumatic Arrest

Is there any role for closed chest CPR in arrest from hemorrhage. If not, why is it so pervasive amongst EM and Gen Surg doctors? How do we abolish this practice?



Any role for drugs?



Do you bother with cross-clamping?



Check out this previous podcast on traumatic arrest.

Massive Transfusion

Are you using any of the scoring systems or instead, gestalt?



Are you using TXA? If so, when and in which pts?



When does TEG or ROTEM enter the picture?



Hypertonic saline?



Tell us a bit about Cryostat?

More Podcasts on the Above



* First listen to Richard Dutton on his vision of hypotensive resuscitation.

* Next, listen to one of the Crash2 authors, Tim Cook, to discuss the use of tranexamic acid in trauma.



To Close

https://twitter.com/karimbrohi/status/234663124567990273

Did you Like this Post? If so, then retweet it...

https://twitter.com/emcrit/status/242372176546770944

What do you think about ACLS and Traumatic Arrest? Comment below...

Now on to the Podcast:

Further episodes of EMCrit Podcast

Further podcasts by Scott D. Weingart, MD FCCM

Website of Scott D. Weingart, MD FCCM