Ret US Air Force Trauma Surgeon, Col (Ret) Dorlac, shares experiences supporting surgical care in Ukraine post Russian invasion. Topics include challenges of tourniquet usage for burn injuries, nerve injury factors, evolution of tourniquet use in military settings, and importance of proper training.
Collaborative efforts in Ukraine led to initiatives like developing a trauma registry for improved patient outcomes.
Efficient tourniquet management is crucial in Ukraine due to limited medics and prolonged evacuation times.
Deep dives
Supporting Trauma Care in Ukraine
Retired Colonel Doralak, a trauma consultant, shares his experience supporting trauma care in Ukraine following the Russian invasion, focusing on enhancing medical capabilities and sharing lessons learned to improve patient outcomes. Collaborative efforts with Ukrainian colleagues have led to initiatives like developing a trauma registry and providing logistics and training support across military and civilian settings.
Challenges with Tourniquet Usage
The podcast delves into the challenges faced in Ukraine regarding tourniquet usage, highlighting the need for efficient tourniquet conversion and replacement due to limited medics and prolonged evacuation times. Issues such as prolonged tourniquet application raising concerns of renal failure emphasize the importance of timely and appropriate tourniquet management to prevent severe complications.
Optimizing Tourniquet Practices
Reflecting on the historical evolution of tourniquet use, the discussion emphasizes finding the optimal balance in tourniquet deployment. While tourniquets have proven lifesaving in conflicts like Iraq and Afghanistan, the podcast stresses the importance of revisiting tourniquet indications, ensuring proper application, and training individuals on tourniquet conversion and replacement to enhance hemorrhage control strategies.
Col (Ret) Dorlac shares info from his experiences teaching and supporting. Ret USAF Trauma Surgeon and now PHTLS editor, Doc Dorlac has a lot of experience and passion for military pre-hosptial medicine.
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