Dr. Dave MacKinnon and Dr. Mike Brzozowski discuss the latest in trauma controversies. In Part 1 of this episode they give us some key pearls and pitfalls on airway management, C-spine collar use, clearing the C-spine, vascular access, ‘Damage Control Rescuscitation’, the best resuscitation fluids to use including hypertonic saline, hemostatic drugs such as Tranexamic Acid, Recombinant Factor 7a, and Prothrombin Complex Concentrates.

In this episode Dr. MacKinnon and Dr. Brzozowski debate questions like: Is Ketamine safe in head injured patients? Why should we minimize the use of C-spine collars? What type of central line is best in the trauma patient? What is the evidence for a 1:1:1 ratio of RBCs:FFP:Plts in the resuscitation of the sick trauma patient? Should we be practising permissive hypotension in the multi-trauma patient? What is the evidence for the use of hypertonic saline in the trauma patient? for therapeutic hypothermia in the head-injured patient? What is the utility of blood work in the trauma patient? How useful are the ABC score and the TASH score in assessing the need for massive transfusion? Is there any role for vasopressors in trauma? Should we consider using Recombinant Factor 7a in the trauma patient? How good is the evidence for the use of Tranexamic Acid in the bleeding patient? How good is the evidence for Prothrombin Complex Concentrates like Octaplex for trauma patients taking Warfarin? and many many more…..