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 3 Episode 4 - PreHospital Blood Programs Don't Need RCT's...Prove Me Wrong
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I've said this before...there are NO randomized control trials evaluating the safety and efficacy of parachutes...we put our faith in them when we step out of an airplane. With the evidence that already exists out there, both from military and civilian realms, it is absolutely mind-boggling when it comes to the amount of kick-back and resistance that occurs when an EMS agency states they want to initiate a whole blood program. Often hospital physicians and blood banks try to block it and say there isn't enough evidence...but we know that if you are bleeding, the evidence is there that replacement of what you lost, and quicker replacement at that, brings better outcomes than pasta water. Now with the more reliable and available third-party EMS-specific blood banks around the country that are helping services get around hospitals trying to block these advancements, I say it is game-on! This is not cowboy medicine, this is hard fact. Anyone that wishes to say otherwise can be the control group bleeding out and just getting saline.
