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The End Of Serial Hemoglobin/Hematocrit In Solid Organ Injury

The Trauma Pro

We developed our first iteration of a solid organ injury practice guideline at Regions Hospital way back in 2002. Possible interventions were none, operation, angioembolization, or blood transfusion. Here’s the final post on my series covering serial hemoglobin testing in the management of solid organ injury.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. COVID-19 and ACS COVID increases the risk of hospitalization, pneumonia, pain, and ACS in SCD patients. PMID:27543812 National Heart, Lung, and Blood Institute. Published January 2002. Am J Hematol.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. Blood transfusion Reduces the overall proportion of HbS. COVID-19 and ACS COVID increases the risk of hospitalization, pneumonia, pain, and ACS in SCD patients. Published January 2002. Am J Hematol.

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Trauma Resuscitation Updates

RebelEM

Lancet 2010 [10] >20,000 adult trauma patients with SBP <90mmHg Patients randomized to TXA 1g over 10 min + 1g IV over 8hrs vs Placebo given within 8hrs of injury In-hospital mortality by 28d reduced (14.5% NEJM 1994. [2]

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First10EM Journal Club: December 2024

Broome Docs

This month we cover a few out-of-hospital arrest trials. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial. A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest. Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest.

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Bubble Wrap PLUS – January 2024

Don't Forget the Bubbles

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Hemoglobin Threshold for Blood Transfusion in Young Children Hospitalized with Iron Deficiency Anemia. Lo Vecchio A, et al.J

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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

Two-month-old Isla presents to their local hospital following a prolonged apnoea at home. Between 2002 and 2015, 200 infants with pertussis were placed on ECMO, but only 56 survived, representing a survival rate of just 28%. Exchange blood transfusion in the management of severe pertussis in young infants. Nieves et al.