Checkout our latest whiteboard style video on Blood Transfusion => kzfaq.info/get/bejne/o8CWrcd_uqeXm6s.html

As a phlebotomist for a blood center, it’s crazy to see just how quickly those units can be used up. Really makes every collection we do feel even more important now

As a non-medical professional who just likes medical stuff this was SUPER cool to watch. Everyone worked so well together.

As an EMT student it's great to understand what happens after patient is handed over. Thanks so much for sharing this :)

This was great to watch even as someone who works at an urban level 1 trauma center in the US. Briefing/establishing priorities before the trauma arrives is something we could add, we typically wait for EMS arrival to give report and then formulate a plan as we’re establishing IV access if not present and obtaining vitals. Finger thoracotomy before chest tube placement is also different. We usually move straight to chest tube placement. This was done flawlessly. The only thing I would add is maybe have some O negative present before the patient arrives. Whenever we know we have a massive hemorrhage arriving, we call the blood bank and send someone to get that asap. 7 mins before blood products arrived seems a bit delayed. Overall, excellent job! Learned a lot!

I can’t wait to be a doctor. Currently a undergrad studying Medical Biology and watching this makes me excited to go to med school and become a doctor.

People who do this for a living are amazing, real life hero’s 💕 . I would personally have a panic attack and pass out, even with a dummy lol. Great job guys!! 👏

As an experienced (3 decades) trauma blood banker, we have those units in the room before the patient even arrives. They are uncrossed emergency release at that time. We notify the trauma team when we have the type and screen completed.

I’m currently training to work in the lab at a hospital. It’s cool to see how labs and the work that blood bank does is so important to saving lives even in a trama situation.

As a KZfaqr watcher, this was great to watch!

As an RN, It nearly brought tears to my eyes, the role that the nurse has after Florence Nightingale. We are literally there to make sure everything is compatible... such as blood type, vitals, etc... What an amazing lifesaving operation.

i was a trauma stepdown RN at a level 1 trauma center in flatbush, brooklyn. it was nuts and a lot and i LOVED IT but my goal is to be in critical care trauma! this code was amazing. just wish all trauma codes were like this lmao

This is wonderful. I was wondering if we could periodically see a VS on the screen. I would also love to see a voiced over version of this to add to why certain things are being done. Just a thought.

As an airline pilot, I see the medical establishment is running the show pretty close from our cockpit management. If you could add some onscreen Artificial Intelligence paired the use of electronic checklists, then the patient gets all the benefit of maximum care. Very impressive to watch. Keep up the good work..

Oh man sounds like a complete nightmare. Folks on blood thinners definitely need a med bracelet.

This was great! I need more of these videos

Its amazing how advance our education has become

Great video. Thanks for sharing!

Amazing how calm they all are! Job well done. 👍🏽🙏🏽❤️

Oh my, there are a couple of things that give me a headache: Why would you open a pelvic sling for clinical examination? If the pelvis is fractured and the patient is in hemorrhagic shock (what appears to be the situation) the least thing you want to do is open up the pelvis to aggravate bleeding. And for what, clinical examination? You got X-Ray and CT, use it. That brings me to my second point: Why wasting time with X-Ray? The patient suffered from multiple injuries. He's got a cervical collar on so I recon cervical spine injury is suspected. There's a hematopneumothorax. There's free intraperitoneal fluid as eFAST revealed. There's a suspected pelvic fracture. And, even though it wasn't specifically mentioned, trauma mechanism requires ruling out traumatic brain injury, especially since he's anticoagulated. All in all you want native CT head to pelvis plus multiphase CT-angiography at least of the abdomen and pelvis; I'd prefer CTA head to pelvis as well. Something that also bothers me in the hospital I work in: Even though other stretchers are available to put things on, prepare stuff etc., that's not how it should work. There may be times all stretchers are in use and you still need to have enough work space to prepare your stuff. There are some more things (patient handover from EMS/emergency physician to ER team was unstructured and missed elemental information, primary survey did not follow ABCDE-scheme etc.) but I will leave it at that.

It is nice to see a simulation as an onlooker for once. Overall great strategy, calm atmosphere. I liked the stickers to indentify functions. I'll just throw in my late night sleep-deprived thoughts in here without any claim of ultimate wisdom or truth. Feel encouraged to discuss if you think I am wrong at some point. The legs, IIRC, were never uncovered, as should have happened during C or at the latest E. General Surgery had no reason to open the pelvic sling. Stability testing of the pelvis is no longer recommended since it has low sensitivity and might worsen an open book fracture. With a positive FAST there also isn't much gain of information. Also, if he really needed to open it, he didn't put it back on tightly, it is absolutely ineffective now. The time to put that IV in seemed quite long, though that may just feel longer as an observer than it feels as the one placing it. Also might be because they used the moment to draw blood at the same time. 18G seems a little small, but rather one 18G than zero 16G, so that's fine. Resuscitate before you intubate, very well planned. The way I learned and trained, induction meds would be decided upon by anaesthesia, not the team leader, but if that's how they are used to do it, why not. Sux is still weirdly popular in angloamerica, the go to relaxant here would be rocuronium, though again, if that's what you guys are used to, perfectly fine. Nice intubation. Video laryngoscope was ready, manual in-line stabilisation was on point during intubation. Good temperature management. Why on earth would you want a chest and pelvic X-ray? Polytrauma patients should get a CT unless they are so unstable they need to go to the OR right away. I would accept the positive FAST as a reason to skip the CT and go right for a laparotomy, but chest and pelvic X-rays take ages and especially the chest X-ray yields no useful information at this point. If it had at least been performed after the chest tube was in, that would be somewhat understandable, since those things should be controlled through X-ray, but that too can wait until the OR.

I would never wish it on anybody, but I love working a MHP. My favourite job is to run the rapid infuser.

'Great to watch.

Thank you for watching! Checkout our other MHP simulation videos! Simulation #2 GI Bleed Massive Hemorrhage Protocol => kzfaq.info/get/bejne/r8dmjKpnv9ipYmw.html Simulation #3 Pediatric Massive Hemorrhage Protocol: activation in a community hospital setting => kzfaq.info/get/bejne/aLacd7ph3Mvdg3k.html

I remember when they first opened the health sciences building of our college they did a demo like this. Never again. Through my 3 semesters we never did any kind of demo. Hell, those expensive mannequins felt horribly underutilized. I will say my favorite though was the midterm practical on PPH. Walk into the "room" and the "PT" goes "Hey, I think I'm bleeding, LOOK!" And rips their covers off revealing a massive blood stain. One of my colleagues squeals and runs out, and the simulation was stopped immediately. She got it together and we did fine on the second go, and she ultimately passed, but that was the funniest series of events.

super cool ty for sharing

at first i thought it was gonna be real and I was confused how they don't care about sterility and time

5:09 do NOT palpate the pelvis please!

ORBcon!?!?!?!?! LOVE

Amazing.

I just had blood clot in brain doctor told don't give pressure on yourself that is why hemmorage happens

Thanks for sharing. I'm curious as to your alternatives to blood if you had a patient come in who refused blood due to personal/ religious beliefs.

i’m a high schooler but this is so interesting to me-

Is it a big deal that the nurse didn't flush the IV after giving the TXA or vitamin K? (I've never worked in trauma and am only a student so genuinely just asking)

Good scenario, hopefully manikin is cared for by someone knowledgeable.. often they are beaten to hell by people who cant maintain them good and not well versed in technology.

Are you guys like Héma-Québec?

I was wondering, are the blood products real or they are specifically made for simulations ?

Is it OK to use suxamethonium when Pt is suffering from fallen from height and, possible multiple muscles injury may causing raise in K+ levels..? also there may be a risk of possible K+ amount with massive blood transfusions too. then why not something else..?

is this medical school

Maybe this is a stupid question, but when you try to intubate the patient ,won't it make things worse if the patient has a cervical injury? Did we do a CT to check if the cervical region is ok? Thank you.

What happens if you can’t ever find a vain for blood work. Since I’ve been 8 I have only been able to do blood work with a ultrasound. What happens if there’s an emergency?

😮

Real life greys anatomy