Publications by authors named "G J Zarow"

Article Synopsis
  • * Medics generally felt most confident in trauma, administrative, and airway skills, but expressed a greater need for training in infection, differential diagnosis, and neuro skills.
  • * In response to these training needs, two Tactical Medicine (TACMED) Divisions have been established to enhance the ongoing education of SOF medics using a bottom-up feedback approach.
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Article Synopsis
  • Sternal intraosseous (IO) access is preferred for military fluid resuscitation due to better flow rates compared to other methods.
  • A study assessed the manubrial bone structure of young adult military members using CT scans, focusing on dimensions relevant to IO catheter placement.
  • Results indicated that both the FAST1 and TALON IO devices would accurately reach the target medullary bone in almost all cases when properly applied in the manubrium.
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Background: Intraosseous (IO) infusion is a life-preserving technique when intravenous access is unobtainable. Successful IO infusion requires sufficiently high flow rates to preserve life but at low enough pressures to avoid complications. However, IO catheter tips are often misplaced, and the relative flow rates and pressures between IO catheter tips placed in medullary, trabecular, and cortical bone are not well described, which has important implications for clinical practice.

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Background: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a potentially life-saving intervention to treat noncompressible torso hemorrhage. Traditionally, REBOA use has been limited to surgeons. However, emergency physicians are often the first point-of-contact and are well-versed in obtaining rapid vascular access and damage control resuscitation, making them ideal candidates for REBOA training.

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Background: Fast and reliable blood collection is critical to emergency walking blood banks (WBB) because mortality significantly declines when blood is quickly administered to a warfighter with hemorrhagic shock. Phlebotomy for WBB is accomplished via either the "straight stick" (SS) or "ruggedized lock" (RL) method. SS comprises a 16-gauge phlebotomy needle connected to a blood collection bag via tubing.

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