Publications by authors named "J R Krohmer"
Removing the barriers to prehospital blood: A roadmap to success.
J Trauma Acute Care Surg
August 2024
This review describes the necessity, evolution, and current state of prehospital blood programs in the United States. Less than 1% of 9-1-1 ground emergency medical service agencies have been able to successfully implement prehospital blood transfusions as part of a resuscitation strategy for patients in hemorrhagic shock despite estimates that annually between 54,000 and 900,000 patients may benefit from its use. The use of prehospital blood transfusions as a tool for managing hemorrhagic shock has barriers to overcome to ensure it becomes widely available to patients throughout the United States.
View Article and Find Full Text PDFA framework for the design and implementation of Stop the Bleed and public access trauma equipment programs.
J Am Coll Emerg Physicians Open
October 2022
Traumatic injuries remain the leading cause of death for those under the age of 44 years old. Nearly a third of those who die from trauma do so from bleeding. Reducing death from severe bleeding requires training in the recognition and treatment of life-threatening bleeding, as well as programs to ensure immediate access to bleeding control resources.
View Article and Find Full Text PDFFacilitating Real-Time, Multidirectional Learning for Clinicians in a Low-Evidence Pandemic Response.
Disaster Med Public Health Prep
September 2022
Article Synopsis
- * Clinicians reported a significant increase in their knowledge after each session, with 75.8% indicating they would likely apply what they learned in practice, and 94.6% felt it improved their patient care.
- * The findings suggest that COVID-19 Clinical Rounds could serve as an effective model for peer-to-peer tele-mentoring, particularly when timely, evidence-based practices are lacking.
Background: In 2021, 702 people died in mass shooting incidents (MSIs) in the US. To define the best healthcare response to MSIs, the Uniformed Services University's National Center for Disaster Medicine and Public Health hosted a consensus conference of emergency medical services (EMS) clinicians, emergency medicine (EM) physicians, and surgeons who provided medical response to six of the nation's largest recent mass shootings.
Study Design: The study consisted of a 3-round modified Delphi process.