My nerdy interest du jour is battlefield medicine, tactical combat casualty care and field medicine (the non-military side of emergency medicine, used in disaster relief). The concept of triage and how to tackle logistical hurdles such as how to carry or transport sensitive equipment and items that need special storage (like refrigeration or freezing) in sparse or hostile environments is fascinating! I just ordered Battlefield Angels: Saving Lives Under Enemy Fire From Valley Forge to Afghanistan on my Kindle and can’t wait to dive into it (just have to finish A Feast for Crows first…)
I started thinking about the topic because an article in bizjournal.com caught my eye: U.S. Army backs Vascular Solutions’ freeze-dried plasma push.
Freeze-dried… freeze-dried plasma. For transfusion. Woah. We can do that?
Plasma is the part of the blood that does not include red blood cells (erythrocytes). You can draw a tube of blood from someone, spin it in a centrifuge, and separate the different components of blood:
Plasma is useful for transfusions in the case of blood loss. Plasma contains water, clotting factors and other proteins, and in the case of traumatic injury and blood loss, these properties can help keep a patient’s blood volume at proper levels so that blood pressure is maintained and the right proteins are in sufficient supply. Patients in the field may need plasma, red blood cells or transfusions of other specific components. Transfusion medicine is a huge and independent field of study. And again: flippin’ fascinating.
According to the infallible source of knowledge that is Wikipedia, the military has been using dried plasma since 1918, which – woah – I did not know, but it makes a sense that a solution was found early on to the challenge of carrying around a heavy liquid that takes up space and is susceptible to degradation. Plasma is mostly water, so dried plasma + water = transfusable plasma that stayed fresh for up to four hours.1
But different situations – environment and available resources, for example – call for different solutions. And even as late as the 1990s military surgical teams have carried units of RBCs on ice, and blood bags for the collection of fresh whole blood from soldiers if plasma or platelets were needed.2
Another cool bit of information that I’ve come across: it’s possible to transfuse too much blood. If someone has an injury and is bleeding internally, it don’t do no good to keep giving ’em fluids; they’ll just leak it out into the area around the wound, which puts them in a more critical condition. You can also have dilutional coagulopathy (in which you dilute out the patient’s platelets and clotting factors – seen in platelet-depleted RBC transfusions – they can’t clot and so can’t stop bleeding), you can put various electrolytes out of balance, cause lung injury, have donor-recipient antibody incompatibilities, and that’s all assuming you’ve already matched your donors and screened out units that contain the common transfusion-transmitted viruses!
But back to field medicine – we can freeze-dry plasma. Woah. Science is cool.
I don’t believe I’ve ever heard that. Way cool!
I was expecting cool physics, but instead I got cool biology. Not disappointed!
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Freeze-drying is fun to watch, especially a demonstration where you put an ordinary bowl of tap water in the machine and bring the pressure down. Watching the water simultaneously boil and freeze is a show-stopper.
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You’ll need to make numerous selections if you journey. Getting yourself ready for your holiday is probably the most interesting aspects of it. This article has numerous useful tips and tips on making touring arrangements and plans to help you remain focused on the exciting and less on the stress. When you are traveling, you should ensure your flight will meet your requirements. Diverse airlines keep distinct niches. Some are low-cost, some give superior services, and several focus on far more spots than others. Before you book any trip by aircraft, research different airlines first. You will save a frustration. In case you have a lot of concerns to get a motel, give them a call during the night. Most main lodges maintain their front workdesk manned 24 / 7. When you have questions regarding booking your living space or special requires you need to talk about, getting in touch with late into the evening ensures that you are currently significantly less probably going to be interrupted for your attendant to have a tendency to a invitee. Look for special discounts for your travel preparations. Having a journey gives you unlimited locations to economize in. In from the flight, on the rental vehicle, into a jogging tour from the metropolis, special discounts abound. Look online benefiting from deals and check what deals are offered to you through your bank cards and memberships. If you’re having a cruise, package a handle package while keeping your valuables in it. Luxury cruises frequently have lots of thieves aboard them so you don’t want to risk losing some thing vital that you you. Burglars will usually overlook something such as a tackle pack, making your valuable items risk-free. So, as you can tell a successful getaway is a lot easier than you might have imagined. Just stick to the suggestions in this post and you will definitely be prepared for a certain amount of genuine enjoyment. Even so, the most crucial tip of all the would be to unwind enjoy yourself! Which is actually what exactly it is information on.
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