With friends from Georgetown and USUHS, several family physicians (including one who is also an ER doc), and families, a group of us went hiking at Great Falls National Park, Maryland, on the Billy Goat Trail. We had some really fantastic hiking weather (see the photos), a great time on the trail, and some yummy comestables thanks to the planning of my wife and our FMIG President, Angel.
We also had an opportunity to talk a little about wilderness medicine (pressure is the key to bleeding, no matter what the setting), and about dealing with hemorrhage requiring massive transfusions (blood products--early and often--and in a 1:1:1 ratio of PRBC to FFP to Platelets). We also had the opportunity to talk about the evidence for the use of fresh whole blood as a supplement or possible replacement for component therapy (retrospective studies indicate a potentially lower mortality, risk of transmission of viral illnesses notwithstanding.
I love spending time with students--this upcoming generation of physicians strikes me as very altruistic and service oriented. With young blood like this, I think the future is in very good hands indeed!
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