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Why Trauma Care Must Start at the Scene

Why Trauma Care Must Start at the Scene

There is a simple principle at the center of Dr. Alexander Eastman’s approach to trauma medicine. Trauma care has to start at the scene. That may sound obvious. It is. Still, trauma is often discussed as though the real work begins when a patient reaches the...
Smooth EMS Handoffs That Improve Patient Outcomes

Smooth EMS Handoffs That Improve Patient Outcomes

The moments between an ambulance arrival and the start of definitive hospital treatment are some of the most critical in trauma care. Over more than twenty years working alongside EMS crews, SWAT medics, and hospital teams in Dallas, Dr. Alexander Eastman has seen...
Dr. Alexander Eastman: Trauma Care on Dallas SWAT

Dr. Alexander Eastman: Trauma Care on Dallas SWAT

In 2004, while training at Parkland Memorial Hospital as a resident and fellow, Dr. Alexander Eastman kept returning to a hard question: what really happens to trauma patients before they reach the hospital? He had watched too many people arrive still alive but...
Tourniquet Myths and Safe Use in Everyday Emergencies

Tourniquet Myths and Safe Use in Everyday Emergencies

For most of his career, Dr. Alexander Eastman has worked at the intersection of law enforcement and trauma surgery. In the operating room and alongside the Dallas Police Department, he has seen one simple tool decide whether a patient lives to tell the story or...
The Architecture of Survival: Systems, Not Heroes

The Architecture of Survival: Systems, Not Heroes

Trauma medicine is often defined by urgency. The clock starts the moment the call comes in. Every team member reacts, and the shared sense of pressure is real. Dr. Alexander Eastman remembers his first major trauma activation as a young physician: the room was...
Reflections on the Parkland Trauma Handbook, 3rd Edition

Reflections on the Parkland Trauma Handbook, 3rd Edition

Looking back on his work on the third edition of the Parkland Trauma Handbook, what Dr. Alexander Eastman remembers most is the environment that shaped it, not just the book itself. Trauma handbooks usually do not come from theory. They are built from repeated...