PJ Medcast 401. CCAT, Deployed AF Emergency Medicine, Military Medicine at USUHS
Dec 29, 2023
Retired Colonel John Wightman, a seasoned USAF emergency medicine physician, shares thrilling insights from his extensive military career. He narrates gripping accounts of critical care air transport challenges, showcasing teamwork and ingenuity under pressure. The conversation dives into the complexities of transfusion protocols and managing hypocalcemia, emphasizing the importance of evolving practices. Wightman also highlights the significance of thromboelastograms in trauma care and the necessity of specialized training, illustrating how medical expertise is vital in military operations.
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Maintaining Trauma Skills
- Even with regular deployments, maintaining proficiency in trauma care requires consistent practice.
- Just-in-time training and leveraging recent experiences of colleagues are crucial for staying sharp.
Traumatic Arrest Resuscitation
- A patient arrived with severe extremity wounds and weak breathing after a helicopter rescue.
- Despite appearing to have a secure airway, the patient had no pulse, requiring immediate intervention and resuscitation.
Calcium Administration
- Consider the potential downsides of empirically administering calcium.
- While seemingly harmless, further research is needed to understand its effects.