The care of a patient involved in major trauma with exsanguinating haemorrhage is time-critical to achieve definitive haemorrhage control, and it requires co-ordinated multidisciplinary care. During initial resuscitation of a patient in the emergency department (ED), Code Crimson activation facilitates rapid decision-making by multi-disciplinary specialists for definitive haemorrhage control in operating theatre (OT) and/or interventional radiology (IR) suite. Once this decision has been made, there may still be various factors that lead to delay in transporting the patient from ED to OT/IR. Red Blanket protocol identifies and addresses these factors and processes which cause delay, and aims to facilitate rapid and safe transport of the haemodynamically unstable patient from ED to OT, while minimizing delay in resuscitation during the transfer. The two processes, Code Crimson and Red Blanket, complement each other. It would be ideal to merge the two processes into a single protocol rather than having two separate workflows. Introducing these quality improvement strategies and coordinated processes within the trauma framework of the hospitals/healthcare systems will help in further improving the multi-disciplinary care for the complex trauma patients requiring rapid and definitive haemorrhage control.
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http://dx.doi.org/10.5492/wjccm.v14.i1.98487 | DOI Listing |
World J Crit Care Med
March 2025
Department of General Surgery, Middlemore Hospital, Auckland 2025, New Zealand.
The care of a patient involved in major trauma with exsanguinating haemorrhage is time-critical to achieve definitive haemorrhage control, and it requires co-ordinated multidisciplinary care. During initial resuscitation of a patient in the emergency department (ED), Code Crimson activation facilitates rapid decision-making by multi-disciplinary specialists for definitive haemorrhage control in operating theatre (OT) and/or interventional radiology (IR) suite. Once this decision has been made, there may still be various factors that lead to delay in transporting the patient from ED to OT/IR.
View Article and Find Full Text PDFFoods
December 2024
Department of Molecular Medicine, University of Padova, Viale G. Colombo 3, 35121 Padova, Italy.
There is an ongoing debate about the relative merits of plant-based versus animal-based protein sources in terms of human health outcomes and environmental impacts. This viewpoint article reviews and synthesizes the current evidence comparing plant and animal protein sources on measures of human health like cardiovascular disease, cancer, and mortality risk, as well as environmental factors like greenhouse gas emissions, water use, and land requirements. Overall, greater consumption of plant protein sources like legumes, nuts, seeds, and whole grains is associated with reduced risks of cardiovascular diseases, some cancers, and mortality, especially compared to red and processed meats.
View Article and Find Full Text PDFJ Environ Manage
January 2025
Marine and Freshwater Research Centre, Atlantic Technological University, Old Dublin Rd, Galway, H91 T8NW, Ireland.
Since the 1990's, attempted restoration of blanket bogs which have been previously afforested with non-native conifers has taken place in Ireland and Britain, with the aim of reinstating hydrological functioning and hence, peatland biodiversity. Here, we assess the conservation benefit of these restoration measures at sites in the west of Ireland, 16-20 years post works, by comparing avian communities between trios of restored (n = 6), near-natural (n = 6), and afforested (n = 6) lowland blanket bogs. We assessed avian community response in terms of differences in the richness and density of all bird species and of Birds of Conservation Concern in Ireland (BoCCI), as well as community composition.
View Article and Find Full Text PDFScand J Trauma Resusc Emerg Med
December 2024
Mountain Medicine Research Group, The Norwegian Air Ambulance Foundation, Bergen, Norway.
Background: Accidental hypothermia is associated with increased morbidity and mortality and poses a significant challenge for both professional and volunteer rescue services in prehospital settings. This study investigated the methods and equipment available to treat patients with cold stress or accidental hypothermia before reaching hospital in Norway.
Methods: We surveyed 156 respondents representing 708 units from both the professional and volunteer Norwegian prehospital chain of care between 2023 and 2024.
J Environ Radioact
February 2025
1 Kiowa Lane, White Rock, NM, 87547, USA.
Glass fragments (16 green glasses and 2 red glasses) were handpicked from crushed Trinitite. X-ray diffraction studies revealed that these samples were essentially pure glass with the exception of minor amounts (less than 4 wt%) of quartz (which acts as a diluent) in some samples. The concentrations of 45 elements in the Trinity glasses were determined using Instrumental Neutron Activation Analysis.
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