Trauma Talks #2, Catastrophic Haemorrhage

##Disclaimer##WelcomeFollowing is an overview and personal opinion. Not a detailed discussion of all the pros and cons. Not a demonstration of technique. Not an assessment of competence and certainly not medical advice.The management is described in increasing order of difficulty, from something a bystander may be able to do without specialised equipment, to more complex management that does need specialised equipment and monitoring. All of this discussion assumes that ur casualty has one injury only. But chances are they they'll have more, for which you need a deeper understanding of how to deal with that.

Disclaimer:WelcomeThis is a topic overview and personal opinion. Not a detailed discussion of all the pros and cons. Not a demonstration of technique. Not an assessment of competence and certainly not medical advice.The management is described in increasing order of difficulty, from something a bystander may be able to do without specialised equipment, to more complex management that does need specialised equipment and monitoring. All of this discussion assumes that ur casualty has one injury only. But chances are they they'll have more, for which you need a deeper understanding of how to deal with that.

Next in the management of multiple injured patient comes the assessment of breathing or ventilation and that mostly comprises of looking after chest injuries of various types

The reason we worry about a patient's airway is because after catastrophic haemorrhage, that is the thing that can k*ll your patient the quickest.If u r dealing with a conscious patient, they probably will tell you that they are able to breathe well.

Catastrophic haemorrhage means a lot of bleeding within a short span of time, an amount of bleeding that has to be stopped or at least stemmed before even the basic assessment and treatment of the patient can be done.However important to realise that this could also be a slow trickle over an extended period of time. Something you regularly see across your screens at Israeli checkpoints up and down the Palestinian territories.

An overview of what constitutes the process of management of a multiply injured patient

Introduction to upcoming podcasts around the topic of management of traumatic injuries

00:00 Jacob 01:35 Welcome 02:18 Awaida et al. Staged mastopexy before NSM in breast reconstruction 02:14 Yusantharao, Nezarali et al. Direct to implant trends 04:07 Aquino et al. Congenital and acquired symmastia 05:12 Minelli et al. SMAS literature search and cadaveric dissection 06:49 Chahin and Habr. Upper breast border in augmentation mastopexy 07:42 Bosman et al. Preop indicators of effectiveness of surgery for De Quervian’s 08:36 Gomez-Eslava et al. Pain Sketches to Predict Pain after TMR in Amputees 09:15 CME Yamada et al. Auricular reconstruction  09:42 Wong, Hanson et al. Techniques for reconstruction after BCS 10:38 CME Davis et al. Acute burn care 12:56 Kinney et al. Plastic surgery patients and social media, via Amazon Turk platform 14:27 Skaldman et al. Biosensors 15:56 Tarashencko Neurobiological origin of the Hoffman-Tinnel sign 16:37 Lehenner et al. Microsurgery training model 17:27 Danino et al. Silone particle sin breast capsules 20:06 Sarangi, Persichetti et al. Factors affecting patient satisfaction after primary BA 20:58 Rothchild et al. Prejuvenation on TikTok

00:55 Empathy 02:04 Kening et al. Identification of Key Breast Features Using a Neural Network PRS.pdf 03:31 Cholok Momeni et al. Spatial Fidelity of Microvascular Perforating Vessels as Perceived by Augmented Reality Virtual Projections PRS.pdf 04:00 Falola et al. Augmented Reality Microsurgery_ Proof of Concept PRS.pdf 04:40 Podolsky et al. Development and Evaluation of a High-Fidelity Rhinoplasty Simulator PRS.pdf 05:05 EPR Paradox 06:01 Albaugh et al. Systematic Review of Nonsyndromic Craniosynostosis_ Genomic Alterations and Impacted Signaling Pathways PRS.pdf 07:48 Boyd Rohrich et al. Systematic Review of Capsular Contracture Management following Breast Augmentation_ An Update PRS.pdf 09:06 Cai et al. Adipose Component Transplantation PRS.pdf 09:37 Qi et al. New Enzyme-Free Method to Prep Decellularized Adipose-Derived Matrix ASJ.pdf 10:44 Zhu et al. Buccal Fat Pad Augmentation for Midfacial Rejuvenation ASJ.pdf 11:08 Jeong et al. The Volumetric Effect of Botulinum Toxin Type A Injection on the Parotid Gland_ A Randomized Controlled Trial PRS.pdf 11:48 Ohana et al. The Platysma Contraction Pattern in Healthy Adults_ A Vector Analysis Study PRS.pdf 12:08 Calomeni et al. Platysma Muscle Contraction Pattern and Its Relationship to Platysmal Banding USS study ASJ.pdf 13:06 Huang et al. Comparative Study of the Morphological Characteristics of Perforators of the Transverse and Descending Branches of the Lateral Circumflex Femoral Artery(LCFA) in Anterolateral Thigh(ALT) Flap Surgery.pdf 14:06 Du et al. Distally Based ALT Flap Algorithm for Unexpected Situations during Soft-Tissue Defect Reconstruction around the Knee PRS.pdf 14:33 Dahmus et al. Smooth vs Textured Expanders ASJ.pdf 15:41 Nelson Cordeiro et al. Textured versus Smooth Tissue Expanders_ A Comparison of Complications in 3526 Breast Reconstructions PRS.pdf 16:18 Vega Morelli et al. USS guided Deep Back Liposuction ASJ.pdf 17:01 Grotting et al. Delta Plication of midface ASJ.pdf

“Any one can preach ethics, until you get punched in the teeth” 00:23 Disclaimer 00:58 Ethics of surgical practice 13:27 JPRAS 14:14 Guiotto et al. Neo-umbilical reconstruction 15:47 Shah et al. ADMs to resurface RFFF donor site 17:23 Smit et al. Smart surgical glasses for cleft surgery training in under-developed world 18:52 Chin et al. Long term outcomes of sphincter pharyngoplasty 20:48 Anders-Rodriguez et al. HR ultrasound to study Depressor anguli oris 22:28 Jovic et al. Economic burden of desquamating derma conditions in a large centre 23:15 3D Telemedicine collaborative. Ghana 3D telemedicine MDT 26:04 PRS and Sforza et al. S-PEC block for BA (an RCT) 26:53 Pre/retro-pectoral implant placement by Hassan et al. and Kim et al. 27:21 Flores et al. Gram +ve bacteria in 100 revised implants (Prospective study) 29:15 Chang et al. CD248 regulation of capsule formation 30:01 Falkner et al. Human vs bovine dermal matrices 31:08 Goodyear et al. Early TMR improves neuroma risk 32:39 Hendren-Santiago et al. In-house 3D printing for craniofacial model creation 33:22 Elmer et al. Crowdsourcing analysis of how public chooses a plastic surgeon