🩸 COMPENSATION HIDES THE BLEED—THEN THE CLIFF 🚨 PFC Podcast 254: Mastering Shock Management in Trauma “Guidelines says ‘give blood at 100 SB.’ But he went 128 → 60. No Class 3. Straight to Class 4. Have I been training people wrong?” Trauma surgeon Max breaks it down: “Fit patients in Class 2 shock look fine… Then CRASH—no warning.” Your NEW Trigger: ✅ Shock Index>0.9 ✅ SBP drop >30% ✅ Mental status slipping = GIVE WHOLE BLOOD NOW Don’t wait for hypotension. Compensation fails FAST. 🎯 Train T

SUSTAIN: Prolonged Field Care - ARA

You're not going to want to miss this one. 🩸 SHOCK DOESN'T WAIT—NEITHER SHOULD YOU. 🩸 In PFC Podcast Ep. 252, Dennis & Max drop 🔥 on resuscitating hemorrhagic shock before the cliff. “Mental status change in a bleeding patient is hemorrhage until proven otherwise.” – Max Key Triggers to Pull Blood EARLY: ✅ ABC Criteria (2 of 4 = MTP): Assessment of blood consumption? → Penetrating trauma BP 100) Positive FAST ✅ Mental status decline = 🚨 RED FLAG Confused? Quiet? “Drunk”? → Give blood NOW Don

Dr. Mike Shertz of Crisis Medicine* breaks down the ins and outs of our Prolonged Field Care Handbook—what medics need to know when the mission goes long, resources run thin, and care must continue under fire. Solid, skill-driven insight from one of the community’s most trusted educators. *Disclaimer: Crisis Medicine and Dr. Mike Shertz had no role in writing the book and do not receive any direct benefit from sales of the PFC manual. Order the PCF Handbook at: https://jsomonline.org/product-cat

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