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Highlight Clip From Behind the Knife: Lessons From the Modern Battlefield

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Duration: 02:32
In this snippet, Dr. Martin explains how current medical resources are being tested for use in the civilian sector to combat the most severe trauma injuries.
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In this snippet, Dr. Martin explains how current medical resources are being tested for use in the civilian sector, but without proper training for medics or those working in the battle, these resources may only be suitable for qualified physicians.
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Peter. You know, we talked to Dr Maddox. We talked to Ben Starnes and we talked a whole come on the behind the night podcast previously. And it's funny, the little bit slightly different thoughts on angles about the Rebel A system. You know how how practical, how it should be implemented. Is it gonna hit and again not only in the combat setting, but also in civilian trauma? I'm curious as to your thoughts about that. And where is it now? And where do you see it fitting if it all, as we go forward into into use in the civilian sector, Yeah, and and that's I think that's the usual sequence of names that people think of in trauma. Usually think Maddox, Holcomb, Martin s so it zumba Wing to be mentioned in the same breath as those kind of names. So from my lower level opinion, I think robo is another interesting technology and and that's that's really because our our final hurdle is trunk or hemorrhage. We do not have an answer for trunk or hemorrhage other than get into a surgeon as quick as possible and do damage control resuscitation and hypertensive resuscitation of that we don't have an answer for those patients. Uh, Rabbo A is one potential answer. There's very good animal data supporting it. It works, you know, essentially cross clamp the aorta and with a lot less physiologic insult than doing an open cross clamp. I think the big hurdle in that is there's a lot of push and it's being sold as this is a pre hospital intervention and we are nowhere close to being able to deploy. That is a pre hospital intervention, because one you need to look at efficacy, especially for pre hospital interventions. But the other thing you have to look at is the price you pay. If you're wrong on the complications, that can happen. And and there's such potential complications of of applying this technology wrong on. If you just think about a lot of a lot of active surgeons and trauma surgeons, you tell him, Go put a balloon in in the aorta and they wouldn't be comfortable with it. And now we're gonna tell a medic to do that in a battlefield environment. So I think robo is great. I see it as an e r intervention. For now, I don't see it moving to the pre hospital environment anytime soon. Other than very select situations like like a situation where a surgeon or a ER physician is in a frontline area, or for very verily select highly trained medics, and in our community that would generally be the Special Forces medics. Outside of that, I really don't see it as a pre hospital.
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