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Handgun Radio 363- Trauma Medicine with Mike Scala

  

Hello and welcome to Handgun Radio! I’m your host Ryan Michad from the wild woods of Central Maine, and this is your home for all the news, information and discussion in the 

This week, we talk about Trauma Medicine with Listener Michael!

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Week in Review: 

Ryan: -Watching “The Cars that Built America”, “The Food That Built America” & “The Titans that Built America” on my History Channel app

Drink Segment: Tuxedo Cocktail

2oz Old Tom (or American) Gin

1.5 oz Dry Vermouth

Four Dashes Maraschino liqueur

two Dashes Absinthe

two Dashes Orange Bitters

Michael: Range day with Jared last Sunday, Working on his Sig P320 FCU. New to me Walther PPQ in trade. Took the Hellcat vs P365 Pepsi Challenge.  Everything Sig fabulous. Crazy week at the hospital. We’re doing a heart/kidney transplant tonight! 

Weerd:

Drink Segment:

Mike’s Beer-mosa experience last Saturday. Finally found some special Belgian beer. 

Primary Arms:

Night Fision Primary Arms Exclusive Sights Glock Compatible 

Also, Primary Arms has a coupon code for FRN listeners! Anyone who purchases an Expo Arms Combat Series 5.56 Chrome Lined AR-15 Barrel SKU: XP-B-556-16-GOV-C will receive an Expo Arms M-LOK Barrier Stopping Device for free SKU: XP-MLK-BSD

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Expo Barrel: https://www.primaryarms.com/expo-arms-combat-series-556-chrome-lined-ar15-barrel-gov-profile-midlength-16

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Main Topic: Trauma Medicine

Mike’s background: Mike is currently a nurse practitioner specializing in cardiac surgery, heart transplant, artificial heart and mechanical support devices. In his prior career, he was a paramedic from 1995-2013 with the greatest portions of that time spent in New York City and Newark, New Jersey. He has been an instructor in Pre-Hospital Trauma Life Support, Advanced Cardiac Life Support and other disciplines. He is a graduate of the State University of New York at Stony Brook Paramedic Program, Rutgers University and the University of South Florida.  

Leading causes of death, Ages 1-44

Three types of trauma: Blunt, penetrating and burns. 

  • Blunt are things like falls, motor vehicle collisions and assaults with blunt objects.
  • Penetrating are where an object actually enters the body to do damage: Stab wounds, impalements and GSW. 
  • Burns are thermal, chemical and radiation. 

Shock is the inability or decreased ability to deliver oxygen to the tissues

Hypovolemic/hemorrhagic: Dehydration, blood loss 

Distributive: Sepsis (infection), anaphylaxis (severe allergic reaction)

Neurogenic: spinal cord injury or other CNS injury resulting in loss of vasomotor tone

Cardiogenic: Impaired heart function.

KE=½ x mass x velocity²

Triage

The word means “to sort” 

Color Coded:

  • BLACK: Non salvageable. Move on.
  • RED: Critical. Highest priority. Treat and transport first. 
  • YELLOW: Second priority
  • GREEN: Walking wounded. 

Equipment for an individual trauma kit:

  • Gloves/Eye protection
  • Trauma shears
  • Gauze- 4 x 4 and abdominal (8 x 10 pads)
  • 3” silk tape
  • Cravat/sling/triangle bandage
  • Tourniquet
  • Chest seal with one way valve
  • Quick clot material if available 
  • Space blanket

Tourniquet Usage 

  • Commercial ones are convenient. Can use a belt.
  • Use for exsanguinating extremity trauma
  • Mark time on patient if you have something to write with
  • Don’t be afraid to use it. Can really be life saving.

What NOT to do

  • Don’t stay in the hot zone!
  • Don’t delay communication (call 9-1-1 or other emergency contact like marine channel 16) and transport to definitive care! 
  • Don’t do surgery! (Forget you saw that episode with Father Mulcahy on MASH). Don’t buy one of those mil-surp field surgery kits.
  • Don’t use butter or oils on burns! 
  • Don’t use other home remedies.

Know your limitations (don’t outrun your skills)

  • Get training! 
  • LEARN CPR as soon as possible and make sure all your family members learn too. 
  • There are local emergency squads, ranges and American Red Cross that provide First Aid Classes. If you’re really motivated, take a Certified First Responder (40 hour) or EMT (120 hour) class. If you eventually become an EMT, there a multitude of trauma and wildness EMT classes to take.

What complications can arise during treatment?

The rescuer becomes a victim by not watching for safety or entering a hot zone without proper precautions.  

Support the ABCs

Environmental exposure-dirt, cold, etc. Major reason people die after trauma is pneumonia and other infections. 

Wrap Up:

Don’t forget to shop Brownells using our affiliate link! Head to firearmsradio.tv and click the affiliate link in the upper right hand corner!

  • Be sure to go like Handgun Radio on facebook and share it with your friends!
  • Leave us a review on iTunes!
  • Check out Primary Arms for great products! (frn.deals/pa) 
  • Listen to all the great shows on the Firearms Radio Network!
  • Weerd where can people find you? Assorted Calibers Podcast 
  • Michael where can people find you and what resources do you want to link to? -@mikescala7798 on Twitter, Handgun Radio Discussion Page

-American Red Cross

https://www.redcross.org/take-a-class

-American Heart Association

https://cpr.heart.org/en/

Until next week, have fun and safe shooting!