The Shock Trauma Go-Team, and other Topics in Trauma Medicine w/ Rishi Kundi, MD

Summary In this conversation, Dr. Rishi Kundi discusses his journey into trauma surgery and the pivotal role of the Shock Trauma Center in Maryland. He elaborates on the evolution and function of the GO Team, a specialized unit that provides advanced medical care in the field. The discussion highlights the importance of collaboration between EMS and the GO Team, the challenges of existing protocols, and the future directions for trauma care. The conversation emphasizes the need for effective communication and documentation in trauma situations, as well as the GO Team's commitment to being a valuable resource for EMS providers. Takeaways Dr. Kundi transitioned from vascular surgery to trauma surgery for a more trauma-heavy practice. The Shock Trauma Center serves as the primary adult resource center for Maryland. The GO Team evolved from informal responses to a structured, volunteer-based system. The GO Team can perform critical interventions in the field, including resuscitation and pain management. Collaboration between EMS and the GO Team is essential for optimal patient care. Protocols for blood administration in the field are evolving, with potential for statewide changes. Effective communication and handoffs are crucial in trauma care. Documentation of consultations and interventions is vital for legal and medical accountability. The GO Team is open to being called for various situations, not just severe entrapments. Future advancements may include remote cannulation and new medical devices for trauma care. Keywords trauma surgery, Shock Trauma Center, GO Team, EMS, patient care, blood administration, trauma systems, communication, handoffs, medical protocols

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