The Synapse Critical Care & Emergency Medicine Podcast
The Synapse is a Critical Care and Emergency Medicine podcast breaking down topics and case studies into simple easy-to-digest segments to help build paramedic, nurse, and other pre-hospital and hospital clinicians into more robust providers. This podcast is open to any and all Emergency Medicine and Critical Care healthcare providers both in and out-of-hospital. Every effort is made to put out as many various topics to cater to everyone's interests and levels. Leave your technician hat outside, put on your clinician hat, and join us!
**Disclosures:
1) This is a non-monetary podcast, created and edited for free for your enjoyment and learning purposes.
2) The opinions and information presented in these podcast episodes is based off of up-to-date research, the latest evidence-based-guidelines, and/or anecdotal experience/opinions of the author.
3) Under no circumstances does this podcast or the information presented within each episode serve as authorization to work outside your guidelines, protocols, or workplace rules otherwise. When in doubt, contact Medical Control for guidance.
The Synapse Critical Care & Emergency Medicine Podcast
The Synapse Season 2 Episode 83 - Plasma May Actually Be Better Than PRBC's...Change My Mind
In the absence of whole blood, if I had to choose between PRBC's or plasma in the prehospital environment for the bleeding patient with coagulopathy, and didn't get to carry both, I would choose (freeze-dried) plasma as the product to carry. Why is this? What reasoning is there to support this?
In trauma, our concern is not just the oxygen carrying capacity in resuscitation. It is also to fix the trauma-induced coagulopathy, the endothelial glycocalyx damage, and more. PRBC's make these worse by diluting the concentration of clotting factors in favor of adding O2-carrying capacity. Plasma gives us back the ability to clot and more.
Join me in this episode as I present the evidence that would support these claims.
