Transforming Trauma Care | Dr. Brodie Nolan on the Impact of Whole Blood in Pre-Hospital Settings

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The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

Ryan Cichowski and Jakob Rodger.

39 episodes

1 day ago

The Inflection Point is the podcast that brings paramedics, EMS providers, and healthcare professionals the latest in prehospital medicine, critical care, cardiac and trauma management, pharmacology, and system design. Jakob Rodger and Ryan Cichowski dive deep into the intricacies of frontline care—combining clinical expertise, research, human factors, leadership, and interdisciplinary collaboration to help you think differently and perform at a higher level. We aim to take a holistic approach to sharing high-quality information that supports paramedics and healthcare professionals.

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Transforming Trauma Care | Dr. Brodie Nolan on the Impact of Whole Blood in Pre-Hospital Settings

The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

28 minutes 55 seconds

3 months ago

Transforming Trauma Care | Dr. Brodie Nolan on the Impact of Whole Blood in Pre-Hospital Settings

About Dr. Brodie Nolan:

Today’s guest is Dr. Nolan — an emergency physician and trauma team leader at St. Michael’s Hospital, a transport medicine physician with Ornge, and an assistant professor in the Department of Medicine at the University of Toronto. With a Master of Science in Clinical Epidemiology and Health Care Research, Dr. Nolan’s work zeroes in on improving trauma systems, reducing delays in interfacility transfers, and advancing patient safety in both prehospital and in-hospital settings.He is also the principal investigator of the Trauma Black Box project — an innovative data platform designed to identify safety threats and resilience factors in real time during trauma resuscitations. In this episode, we explore his research, frontline experiences, and how data, systems thinking, and human factors are shaping the future of trauma care in Ontario and beyond.

Support Dr. Nolan and learn more about his work:Unity Health Research Profile: https://research.unityhealth.to/profiles/brodie-nolan/University of Toronto Faculty Profile: https://ihpme.utoronto.ca/faculty-profile/nolan-brodie/First 60 Trauma Research Group: https://first60.ca/investigators-and-collaborators/brodie-nolan/

On today's episode, Dr. Nolan shares insights about his involvement with Ornge and the 'First 60' group, focusing on improving trauma and pre-hospital care. The highlight is the Swift Canada study—a pilot randomized clinical trial assessing whole blood use in pre-hospital settings vs. component therapy. Dr. Nolan delves into the challenges and collaboration needed for such research, highlighting the potential benefits of early blood administration, hypothermia prevention, and balanced resuscitation. The discussion also addresses the adaptation of trauma protocols to different environments and conditions, emphasizing that individualized care strategies can significantly impact patient outcomes.

Chapters:

00:00 Introduction and Guest Welcome

00:14 Brody's Background and Achievements

01:17 The Importance of Pre-Hospital Blood Studies

02:07 Challenges in Implementing the Study

03:57 Historical Context of Whole Blood Use

05:52 Current Study Progress and Future Implications

09:00 Addressing Trauma and Bleeding

13:42 Mitigating Hypothermia and Other Challenges

23:44 Intubation and Resuscitation Strategies

References:

https://first60.ca/current-studies/swift/

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Legal Disclaimer:

The content on this channel is intended for educational purposes only. It is not medical advice, does not replace local medical directives, and is not a substitute for accredited paramedic training programs or formal continuing education. Viewers are responsible for practicing within their scope and adhering to the clinical standards set by their regulatory body and medical oversight authority.

VIDEO PRODUCTION NOTES • Edited in Wondershare Filmora 14 and DESCRIPT AI• Script, transcription & voice cleanup with Descript AI (Studio Sound, Remove Filler Words, Overdub)• AI pictures generated with ChatGPT and Google Gemini