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In this episode of EMERGE, I am joined by Dr. Frank Guyette, an emergency physician and EMS expert from the University of Pittsburgh and the medical director of STAT Medevac. Dr. Guyette offers insights into pre-hospital trauma care, discussing critical topics such as the trauma triad and diamond of death, the complexities of hypocalcemia in trauma patients, and evolving practices in fluid management. He also delves into the latest research and protocols, including the controversial use of TXA and the challenges of resuscitating trauma patients with advanced techniques. Looking towards the future, Dr. Guyette explores the promising role of artificial intelligence and cutting-edge medical devices like REBOA in advancing trauma care. This episode is packed with vital information for EMS providers, medical professionals, and anyone interested in the latest trends in emergency care.