Description
In this presentation, Peter Bates discusses the latest updates on acute resuscitation, addressing both current practices and emerging innovations in the field. He highlights key aspects of modern resuscitation techniques, such as permissive hypotension (now known as damage control resuscitation), the use of pelvic binders, and tranexamic acid within massive transfusion protocols.
The talk emphasizes the importance of maintaining a blood pressure around 90 mmHg to prevent further complications, as well as the role of pelvic binders in controlling bleeding through a tamponade effect. Peter elaborates on the significance of early administration of tranexamic acid and its safety in patients with traumatic brain injuries. He also explains that massive transfusion protocols have evolved, stressing the necessity of a more holistic understanding of whole blood equivalents rather than strict 1:1:1 ratios of blood products.
Moreover, Peter discusses advancements like the Level One infuser, which streamlines resuscitation efforts by rapidly delivering warmer fluids. He touches upon the BASTE algorithm that guides anesthetic decision-making in trauma situations and the critical role human factors play in the success of trauma teams. Peter also looks at innovative techniques like ECMO and REBOA, envisioning their potential impact in trauma care, while also cautioning about their limitations and complications during implementation.
In summary, the talk points toward the need for continuous improvements in protocols and practices within acute resuscitation, drawing attention to the importance of human and systemic factors that contribute to better patient outcomes.