Ep 287 - Damage Control Pre-hospital Care with Harriet Tucker at Trauma 2030

The podcast explores damage control pre-hospital care, focusing on the strategy of "doing less" to improve outcomes for trauma patients with non-compressible hemorrhages. Harriet Tucker, London's Air Ambulance HEMS Governance Lead and Trauma Team Leader, explains the principles of using time as a treatment and prioritizing interventions that address bleeding. The discussion highlights the importance of rapid transport to a surgeon, aggressive volume resuscitation with blood products, and minimizing non-essential interventions like definitive airway management on-scene. Tucker emphasizes the cultural and mindset shifts required for pre-hospital teams to adopt this approach, including collaboration with ambulance services and major trauma centers. The podcast stresses the need for ongoing case reviews and training to refine protocols and support clinicians in making difficult decisions under pressure.