#19 – Trauma Anesthesia – Caleb Rogovin, MSN, CRNA

Jon caught up with Caleb Rogovin, MS, CRNA, CCRN, CEN to talk trauma anesthesia.  Pharmacology, massive transfusion protocols, fluid management, room set up, team communication and personal coping are all covered in this episode.  

Caleb Rogovin, MS, CRNA, CCRN, CEN has an extensive background in trauma critical care and anesthesia.  Caleb worked for years in emergency medicine and critical care, earning a Master’s degree in Trauma Critical Care before returning to school to become a CRNA.  He has served as a trauma critical care educator and administration as well as a faculty member of nurse anesthesia programs.  Caleb currently works as part of the anesthesia team at Temple University Hospital in Philadelphia, Pennsylvania.

 

Topics Covered:

  • Approach to trauma:  room set up & team psychology
  • Pharmacology:  induction sequence and hemostasis
  • Massive transfusion protocols and fluid resuscitation
  • Communication in the OR:  perhaps your best tool in trauma resuscitation

 

A couple of highlights:

“You don’t judge them.  You just take care of them.”  – Caleb describing his approach to trauma patients.

“You don’t need lactated ringers or normal saline… what is falling out of your body is blood.”  – Caleb explaining fluid resuscitation in massive transfusion protocols.

 

Links & Resources:

The Prospective, Observational, Multicenter, Major Trauma Transfusion (PROMMTT) Study: Comparative Effectiveness of a Time-varying Treatment with Competing Risks

Cook County Hospital’s Blood Bank Page – the world’s first blood bank.

A bit about Caleb from the AANA.

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