What is the platinum 5 minutes?

"Platinum 5 minutes" refers to the critical, ultra-short window in severe bleeding emergencies (like battlefield trauma) where immediate hemorrhage control is vital to prevent circulatory collapse and death, often called the "point of no return," emphasizing that life-saving action must happen much faster than the broader "Golden Hour" concept, with some models suggesting only a few minutes matter. It also refers to an easy-to-use hair toner by XMONDO that colors blonde hair in 5 minutes to reduce brassiness.
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What is the platinum 10 minutes?

The "platinum 10 minutes" refers to the critical first 10 minutes after a severe traumatic injury or medical emergency, emphasizing that Emergency Medical Services (EMS) should spend no more than this time on-scene to rapidly assess, stabilize, and transport the patient to definitive care to maximize survival chances, as discussed in various medical training resources like Quizlet and by organizations like AST.org. 
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What is the platinum hour in trauma?

Dr. Ashray mentions a newer concept, the "platinum 10 minutes", which refers to the first 10 minutes of treatment after a traumatic injury. This time period is critical for getting the patient to a hospital and starting treatment.
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What is the Golden Hour rule in trauma?

The "golden hour" in trauma is the critical first 60 minutes after a severe injury when prompt medical care, especially definitive surgical intervention, offers the best chance of survival, drastically reducing death rates. While once considered a strict 60-minute rule, it's now seen as a concept emphasizing rapid assessment, stabilization, and transport to a trauma center, with the goal of getting patients to life-saving treatment before shock or complications become irreversible, though the exact timing varies by injury.
 
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What is the new platinum rule?

Doing unto as per the Platinum Rule implicates not only clinical decisions, but treating patients—as in acting toward them—as they would want to be treated. This means establishing a care tenor that is informed by asking what we need to know about them as a person to take the best care of them possible.
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What is the leading cause of death in trauma?

The leading cause of death in trauma patients is Traumatic Brain Injury (TBI), accounting for a significant portion of overall trauma fatalities, especially later on; however, uncontrolled hemorrhage (bleeding) is the most common cause of early death, often in the prehospital phase, and a major factor in preventable deaths, leading to a "lethal triad" with hypothermia and acidosis that worsens clotting. 
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What is the golden hour of TBI?

The Golden Hour refers to the first hour after a traumatic injury, during which immediate and appropriate medical care can significantly improve a patient's chances of survival and recovery.
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What happens if a tourniquet is applied for longer than 1 minute?

An extended delay in the removal of a tourniquet can cause neurological, muscular, circulatory, and/or vascular injury. Additionally, prolonged retention of a tourniquet can result in inaccurate laboratory test results (e.g., potassium level or blood count), which could lead to errors in patient care and treatment.
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What's the longest you can leave a tourniquet on?

A tourniquet should ideally be removed or converted within two hours to minimize the risk of permanent nerve, muscle, and vascular damage, though it can sometimes stay on longer in life-threatening situations where definitive care is delayed; however, if left on for over six hours, it should not be removed in the field. The goal is always to get professional medical help and remove it as soon as possible, ideally before 2 hours, to prevent complications like amputation. 
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Is a tourniquet painful?

Yes, a tourniquet is painful because it applies intense pressure to stop bleeding, compressing muscles and nerves, causing a deep ache and numbness, but this pain is necessary to save a life, and pain medication is often needed, especially for longer uses. The discomfort starts as pressure and tingling, progressing to aching and numbness as nerve fibers get blocked, often requiring significant pain relief for proper tightening and patient comfort.
 
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Can you remove a tourniquet once the bleeding stops?

Once a tourniquet is applied, do not remove it even if bleeding slows or stops. Releasing the tourniquet may allow the bleeding to resume. It's vital for medical professionals, like emergency department staff, to assess the bleeding before releasing the tourniquet.
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Why do TBI patients cry?

Feeling sad is a normal response to the losses and changes a person faces after TBI. Feelings of sadness, frustration and loss are common after brain injury. These feelings often appear during the later stages of recovery, after the individual has become more aware of the long-term situ- ation.
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What is the 3 hour rule for TBI?

One major barrier to access to TBI follow-up care and rehabilitation is the “three-hour rule,” a common practice that requires that patients have sufficient energy and endurance to engage actively in therapies such as occupational, speech, or physical therapy for three hours per day, five days per week.
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How many years does a TBI take off your life?

Even after surviving a moderate or severe TBI and receiving inpatient rehabilitation services, a person's life expectancy is 9 years shorter. TBI increases the risk of dying from several causes. Compared to people without TBI, people with TBI are more likely to die from: 57% are moderately or severely disabled.
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What is the #1 killer of humans in the world?

The biggest human killer in the world today is cardiovascular disease (CVD), primarily ischaemic heart disease, causing millions of deaths annually, while historically, pandemics (like the Black Death) and infectious diseases (like TB, smallpox, malaria) have killed the most people, with Mao Zedong noted as a single historical figure causing massive death through famine. 
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What is the triangle of death in trauma?

The Trauma Triad of Death, or lethal triad, is a deadly cycle in severe trauma involving Hypothermia, Acidosis, and Coagulopathy, where each condition worsens the others, leading to increased bleeding, poor oxygenation, and eventual death if not reversed through aggressive resuscitation, often by stopping bleeding, warming the patient, and balancing blood product transfusions.
 
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What is the #1 cause of accidental death?

Finally, poisoning is the leading cause of accidental death in the United States. Many of these deaths are the result of drug overdoses. However, some are due to negligent manufacturing practices. For example, someone might suffer a death by poisoning if they use an unsafe medication or household cleaning product.
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What is the 60% rule in rehab?

The 60% Rule is a Medicare facility criterion that requires each IRF to discharge at least 60 percent of its patients with one of 13 qualifying conditions.
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What not to say to someone with a TBI?

When talking to someone with a brain injury, avoid minimizing their struggles (e.g., "I forget things too," "You look fine"), questioning their abilities ("How many times do I have to tell you?"), or offering unhelpful platitudes ("Look on the bright side," "You're lucky to be alive"). Instead, be patient, listen, focus on strengths, and understand that irritability or memory issues are symptoms, not character flaws.
 
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What's the shortest you can be in rehab?

The answer depends on the type of treatment program you're enrolled in and the severity of your addiction. Generally speaking, most inpatient rehab programs last between 28 and 90 days. However, some programs do offer shorter stays of 7 to 10 days, depending on the individual's needs.
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What mental illness can you get from TBI?

TBI is associated with elevated risk for several psychiatric conditions, including depression, anxiety, post-traumatic stress disorder, and suicidality (Howlett et al., 2022).
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What is a trauma dump?

A "trauma dump" is when someone unloads intense emotional distress, traumatic experiences, or heavy negative feelings onto someone else without their consent, warning, or consideration for the listener's capacity, creating an overwhelming and often one-sided emotional burden that can damage relationships and cause burnout. It differs from healthy venting by lacking mutual support, appropriate boundaries, and respect for the listener's emotional space, often happening suddenly and with graphic or repetitive detail. 
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Where is crying in the brain?

'Emotional tears' are initially triggered from an area of our brain that's responsible for emotional arousal, known as the limbic system. This part of the brain communicates to another messaging area, called the Pons, which then signals the glands to produce tears.
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What do EMTs use to stop bleeding?

Apply direct pressure to wound. Apply direct pressure and a tourniquet (if trained) for life-threatening bleeding on a limb. Use wound packing (if trained) for life-threatening bleeding from the scalp, neck, shoulder, groin, and back or from a limb if no tourniquet is available.
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Why can only doctors remove tourniquets?

This is why it is so important to leave a tourniquet in place after it's been applied. No TQ should be removed without a doctor present to oversee the recovery, or we could end up killing the casualty you have been working so hard to save.
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