They may increase heart rate and pulse strength, but in the process, they will break blood clots and make hemorrhage worse.

And unlike typical EMS, combat doesn’t usually have blood on hand.

Which means that any blood lost is irreplaceable.

You’re damned if you do, and damned if you don’t.

And because blood is the life force of the casualty, breaking clots and causing hemorrhage is a no-go.

IV/IO are amazing if you can do it.

The order of effectiveness for IV stuff is this:

Well if they have a pulse you just have to be careful it’ll definitely be worse.

Fresh whole blood, blood products, colloids, crystalloids.

That’s the order that you will want.

epinephrine wise anyway

Hetastarch and Hextend are nice. TXA as well.

Hetastarch definitely

> epinephrine wise anyway
@ToɳTo Tuck

By all means. Works well to increase blood pressure but breaks clots.

TXA is very effective for internal bleeding, other than the ~45 minute wait for it to kick in.

I’ve never been around any TXA

Not familiar at all with it

Transexamic Acid

Lysine

I think I know what it is

But haven’t seen it used

Definitely gonna research

Thanks 🙂

Pretty sure it’s a colloid

I haven’t went on any calls so I haven’t either. *But* talking to both combat medics and paramedics, it’s wonderful stuff.

Also, DSI > RSI

Yeah I’m trying to think if it’s named something else?

I’m not sure.

Another thing: KETAMINE IS AMAZING

TXA is awesome, Ketamine is more betterer. I don’t give a fuck what anyone says, it causes respiratory depression 😂 great for keeping BP from shitting and if given with Benzos helps the emergency phenomenon.

I can see how it would cause respiratory depression

Used Ket <20 times. Worked like a champ though

Especially when you’re putting someone in a whole different world

Had a medic tell me about one time having to use ketamine because of behavior

Guy was threatening the medic

Yeah i gave it to one guy with a GSW to the shoulder, he was screaming about pain and once he was secure he went deep in the K hole.

He put some Ket in that guys system IM, and in like 1 minute he was in a whole different world

I’m so fucking glad there are guys here to talk medical with

None of my other servers have guys interested

Snapped out of it as we were pulling i to the ER, looked at me and said ‘God??’ I said no man other end. He said ‘Jesus christ’ and just starred at the roof of the ambulance, after that everyone who got Special K, got 2 of versed. My old service had protocols for ketamine for excited delirium.

Yeah its hard to find folks who give half a fuck about basic care let alone combat care/advanced shit.