Doc Mitchell

Doc Mitchell, an expert in austere medicine and trauma care, dives deep into the critical role of calcium during trauma management. He uncovers how hypothermia affects citrate metabolism, complicating liver function in trauma patients. The conversation reveals alarming insights on hypocalcemia's impact on mortality during massive transfusions. Mitchell also shares challenges faced in military settings, where proper calcium administration can be lifesaving. Additionally, he emphasizes the importance of clinical judgment and adaptability in emergency care.

Doc Mitchell, a trailblazing GA, ST, and SOST EM Doc known for performing the first pre-hospital combat REBOA, dives into the intricate pathophysiology of trauma care. He unpacks the transition from the lethal triad to the diamond of death, focusing on how hypocalcemia jeopardizes myocardial function and clotting. The discussion highlights the critical role of calcium in trauma resuscitation and debates the merits of calcium chloride versus calcium gluconate, essential for effective emergency treatment.