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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Management includes rapid initiation of opioid and non-opioid agents to treat the pain associated with vaso-occlusive crisis, antimicrobial coverage, incentive spirometry, oxygen supplementation to maintain saturation > 95%, fluid resuscitation based on volume status, consideration for transfusion, and specialist consultation.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Blood transfusion Reduces the overall proportion of HbS. Simple blood transfusion should be considered early in the hypoxemic patient with advancement to red cell exchange transfusion if there are clinical features of severe pathology or evidence of progression despite initial simple transfusion.

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First10EM Journal Club: December 2024

Broome Docs

Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial. As a follow up, we have the TRAIN trial, which is another open-label multicenter RCT comparing liberal to conservative transfusion strategies in brain injury. 2000 Aug;31(2):513-8. Epub 2000 Sep 14.

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality. Management and outcomes of open pelvic fractures: An update. J Clin Orthop Trauma. 2021;12(1):101-112. doi:10.1016/j.jcot.2020.09.035 2020.09.035 Yoshihara H, Yoneoka D. J Trauma Acute Care Surg.