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Smooth Handoffs That Improve Outcomes

Smooth Handoffs That Improve Outcomes

The moments between an ambulance arrival and the start of definitive hospital treatment are some of the most critical. Having spent over twenty years working alongside EMS crews, SWAT medics, and hospital teams in Dallas, I have witnessed firsthand how a smooth...
How I Brought Trauma Surgeons onto Dallas SWAT Missions

How I Brought Trauma Surgeons onto Dallas SWAT Missions

In 2004, when I was a surgical resident at Parkland Memorial Hospital, I started asking myself a hard question: what really happens to trauma patients before they reach us? I had watched too many people roll through the doors still alive, but already beyond saving....
Tourniquets: Myths vs. Reality in Everyday Emergencies

Tourniquets: Myths vs. Reality in Everyday Emergencies

Tourniquet Myths and Safe Use in Everyday Emergencies For most of my career, I have lived at the intersection of law enforcement and trauma surgery. Working with the Dallas Police Department and in the operating room, I have seen one simple tool decide whether a...
The Quiet Work Behind Trauma Care

The Quiet Work Behind Trauma Care

Trauma medicine is frequently characterized by urgency. The clock begins the moment the call is received. Every team member responds, and the collective sense of pressure is palpable. This aspect is genuine. I recall my first major trauma activation as a young...
Reflections on the Parkland Trauma Handbook Third Edition

Reflections on the Parkland Trauma Handbook Third Edition

Looking back on my work with the third edition of the Parkland Trauma Handbook, what I remember most is the environment that shaped it, not just the book itself. Trauma handbooks usually don’t come from theory. They are built from repeated experience, pressure, and...