In the fireside chat part two for the ALS PCS 5.4 (at the 1hr 31min mark), Dwayne Cottel mentions an isolated head injury is just the head, nothing else. I’m understanding that to mean that if I have a multi-system trauma, I’m suspecting bleeding elsewhere in the body, I can give TXA regardless if I believe the head is also affected? So in other words, having a head injury doesn’t make TXA an absolute no UNLESS I’m thinking the head injury is the only injury or the only source of bleeding?

When giving Epinephrine for anaphylaxis is it expectable to delay administration of diphenhydramine following the first dose of Epinephrine if it is getting close to the 5 minute dose interval for the second dose of Epinephrine and the patient is requiring the second dose of Epinephrine? My understanding is that Epinephrine in anaphylaxis is the priority medication and I could use clarification as to whether or not it is okay to delay administration of diphenhydramine until after the second dose of Epinephrine if the patient requires a second dose and we were not able to administer diphenhydramine in between the required 5 minute dose interval for the second dose of Epinephrine.

I was hoping to get some clarification as to what a penetrating trauma under FTT guidelines is considered to be? I’ve seen many definitions that will define it as a breaking of the skin resulting in an open wound but wouldn’t a laceration fall under that definition? For example you attend a patient that has fallen resulting in a deep laceration to their head. Would that injury be considered penetrating and thus fall under FTT guidelines?