The Bleeding Triad

Sirens & Stethoscopes: EMS Podcast

In this episode of Sirens & Stethoscopes, Kevin and Jay Barrera discuss the Triad of Death: Acidosis, Hypothermia, and Coagulopathy, as well as the practice of field blood transfusions. They explore how these conditions interplay and contribute to severe complications in trauma patients, emphasizing the importance of timely and effective interventions in pre-hospital care.
Jay discusses the physiological impacts of hypothermia, the role of acidosis in worsening patient outcomes, and the onset of coagulopathy. He highlights the significance of controlling bleeding and maintaining body temperature, sharing practical strategies to improve patient outcomes. The conversation also covers best practices for fluid resuscitation, including permissive hypotension. It examines the role of auxiliary medications, particularly the importance of calcium in treatment due to the impact of citrate in blood products. Additionally, they discuss the practice of field blood transfusions, explaining how it can significantly enhance survival rates in trauma and medical hemorrhage patients.
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Disclaimer: The Sugar Fire Department, including its officers, employees, and affiliates, shall not be held responsible or liable for any claims, damages, injuries, or losses arising from the use or misuse of the information presented in these videos. It is important to note that the videos are not a substitute for professional medical advice, diagnosis, or treatment. Emergency Medical Services (EMS) providers should always adhere to the local protocols set by their agency and Medical Director.