Prehospital Trauma Care with Dr. Brodie Nolan

On today’s episode, we chat with Dr. Brodie Nolan, an emergency
physician and trauma team leader at St. Michael's Hospital (one
of Canada’s largest trauma centres), and a transport medicine
physician for ORNGE.


We discuss what trauma is, and how we define hemorrhagic shock.
We discuss that trauma triad of death, and why it’s important to
get these patients to a lead trauma centre.


These patients ultimately need blood products, so Dr. Nolan walks
us through blood/fluid resuscitation, as well as the massive
hemorrhage protocol.


Lastly, we cover the prehospital care of these patients: the
field trauma triage and air ambulance utilization standards;
A-B-Cs (the importance of de-prioritizing intubation and allowing
for permissive HYPOtension); the on-scene interventions we should
and shouldn’t perform; and what the future looks like for the
care of these patients