CRT
Rapid initiation
Citrated Rapid TEG — tissue factor plus kaolin activation. Fastest channel to results in active hemorrhage; CRT.MA gives an early read on clot strength when waiting on conventional labs costs blood.
Nurse Anesthesiology / Trauma & Coagulation
Nathan Bowser.
A nurse anesthesiology resident at the University of Arizona, focused on trauma resuscitation and TEG 6s–guided hemostatic management.
About
Clinician first.
Curious always.
I am a Doctor of Nursing Practice candidate in nurse anesthesiology at the University of Arizona, with clinical rotations across Phoenix’s Level I trauma centers — Banner University, Banner Desert, and Valleywise — covering general, trauma, and neurosurgery, regional anesthesia, obstetrics, pediatrics, and burns.
Before training, I spent two years in the Trauma / Surgical ICU at Renown in Reno, caring for high-acuity patients drawn from over 80,000 square miles of catchment. That ground — complex resuscitation, vasoactive titration, invasive monitoring — shapes how I think at the head of the bed today.
My clinical and scholarly focus sits at the intersection of trauma anesthesiology and viscoelastic coagulation testing — specifically TEG 6s with the Global Hemostasis with Lysis cartridge — to drive goal-directed resuscitation when minutes and products both matter.
- Trauma & massive transfusion
- TEG 6s · Global Hemostasis
- Goal-directed resuscitation
- Regional & general anesthesia
Clinical & Research Focus
TEG 6s in trauma.
A bedside language for hemorrhage.
The Global Hemostasis with Lysis cartridge runs three assays in parallel — CK, CRT, and CFF — producing a profile of clot initiation, clot strength, fibrinogen contribution, and fibrinolysis from a single citrated sample. In trauma, that distinction reshapes the resuscitation.
Hover a parameter below to highlight its channel on the tracing.
CK
R time & MA
Citrated Kaolin — the workhorse channel. CK.R reflects clot initiation and points us toward plasma rather than reflexive platelet transfusion; CK.MA is the integrated read on overall clot strength.
CFF
FFMA — fibrinogen
Citrated Functional Fibrinogen — platelets are inhibited so the MA reflects fibrinogen alone. FFMA reframes cryoprecipitate or concentrate as a goal-directed decision rather than empiric replacement.
LY30
Hyperfibrinolysis
Catching trauma-induced hyperfibrinolysis early changes mortality. CK.LY30 operationalizes the TXA decision in real time — a small number with outsized weight for the patient on the table.
“Goal-directed resuscitation is not just about giving less product. It is about giving the right product at the right moment — and being able to explain why at the end of the case.”
Publications & Media
What I’m putting out
into the world.
Peer-reviewed work, podcast appearances, talks, and projects in motion. This page grows with the practice.
Publication
August 2026
Thromboelastography 6s Use in Trauma — An Integrative Review for Anesthesia Providers
Integrative review synthesizing the current evidence on TEG 6s adoption in trauma anesthesia — cartridge selection, parameter interpretation, and integration with massive transfusion protocols.
Read the article
Podcast
Guest on the Anesthesia Guidebook Podcast
Featured as a guest on the Anesthesia Guidebook podcast — a show for nurse anesthesia providers and student registered nurse anesthetists.
Listen on Anesthesia Guidebook
Talks
In progress
Conference presentations & grand rounds
Posters, lectures, and workshop sessions on TEG 6s, goal-directed transfusion, and trauma anesthesiology.
Coming soon
Projects
Active
Ongoing scholarly & QI work
Quality improvement and translational projects from the trauma rotations — updates appear here as they progress to publication.
More to comeCurriculum Vitae
The full record.
Education, training, certifications, and ongoing scholarly work.
Download the latest CV
A current PDF of my curriculum vitae — updated regularly with clinical experience, certifications, and research activity.
Education
-
Doctor of Nursing Practice — Nurse Anesthesiology
University of Arizona · 2024–Present (expected May 2027) - BSN — University of Nevada, Reno · 2018–2022
Anesthesia Training
-
Banner University Medical Center, Phoenix ·
Jan–May 2026
Level I trauma — general & trauma surgery, regional anesthesia -
Banner Desert Medical Center, Phoenix ·
May–Jul 2026
Level I trauma — general surgery, neurosurgery, trauma surgery -
Valleywise Medical Center, Phoenix ·
Jul–Aug 2026
Level I trauma — trauma surgery, obstetrics, pediatrics, burns
Professional Experience
-
Adjunct Nursing Faculty — University of Nevada, Reno
· 2023–Present
Pathophysiology, pharmacology, and critical care concepts in the ICU -
Registered Nurse, Trauma / Surgical ICU — Renown,
Reno · 2022–2024
High-volume trauma center; vasoactive drips, complex patients, invasive monitoring
Publications
-
American Journal of Nurse Anesthesiology · Aug 2026
Thromboelastography 6s Use in Trauma — An Integrative Review for Anesthesia Providers
Memberships
- American Association of Nurse Anesthesiology · 2024–Present
Certifications
- AHA Advanced Cardiovascular Life Support (ACLS) · Exp. 12/27
- AHA Advanced Pediatric Life Support (APLS) · Exp. 12/27
- AHA Basic Life Support (BLS) · Exp. 12/27
Contact
Open to conversations.
Clinical opportunities, collaboration, or a question about TEG 6s in trauma — send a note.