Ricky and Justin discuss their research on the administration of calcium in hemorrhagic shock. They explain how they became interested in the topic and the gaps they identified in current medical knowledge. They discuss the importance of calcium in the clotting cascade and the potential role of citrate in contributing to hypocalcemia. They also explain the protocol for administering calcium in the field and the different forms of calcium that can be used. They discuss the risks of overcorrection of hypocalcemia and the need for further research on the topic. Overall, their research aims to improve patient outcomes and reduce mortality in hemorrhagic shock.

Takeaways

Calcium plays a crucial role in the clotting cascade and may be important in the treatment of hemorrhagic shock.

Hypocalcemia is common in trauma patients and may contribute to increased mortality.

The administration of calcium, along with blood products, can help prevent hypocalcemia and improve patient outcomes.

The protocol for administering calcium in the field includes giving one gram upfront and one gram every four units of threshold blood.

There is a risk of overcorrection of hypocalcemia, which can lead to hypercalcemia and increased mortality.

Further research is needed to determine the optimal timing and dosage of calcium administration in hemorrhagic shock.

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