Advanced Critical Care Techniques in the Field - 23/05/24

Doi : 10.1016/j.ccc.2024.03.003

Elizabeth Powell, MD ^a, Alex P. Keller, MD ^b, Samuel M. Galvagno, DO, PhD, MBA, FCCM, FAMPA ^c,^⁎
^a Program in Trauma, University of Maryland School of Medicine, R Adams Cowley Shock Trauma Center, 22 S Greene Street, Baltimore, MD 21201, USA
^b Medical Modernization and Plans Division, 162 Dodd Boulevard, Langley Air Force Base, VA 23665, USA
^c Department of Anesthesiology, University of Maryland School of Medicine, 22 S Greene Street, S11C16, Baltimore, MD 21201, USA

^∗Corresponding author. 22 S Greene Street, Baltimore, MD 21201.22 S Greene StreetBaltimoreMD21201

Résumé

Critical care principles and techniques continue to hold promise for improving patient outcomes in time-dependent diseases encountered by emergency medical services such as cardiac arrest, acute ischemic stroke, and hemorrhagic shock. In this review, the authors discuss several current and evolving advanced critical care modalities, including extracorporeal cardiopulmonary resuscitation, resuscitative endovascular occlusion of the aorta, prehospital thrombolytics for acute ischemic stroke, and low-titer group O whole blood for trauma patients. Two important critical care monitoring technologies—capnography and ultrasound—are also briefly discussed.

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Keywords : Prehospital critical care, Whole blood, Extracorporeal cardiopulmonary resuscitation (ECPR), Cardiopulmonary resuscitation, Resuscitative endovascular balloon occlusion of the aorta (REBOA), Low-titer group O whole blood (LTOWB)