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Trauma Resuscitation Updates

RebelEM

vs 3U) but no difference in mortality (Study not powered for this outcome) Clinical Take Home Point: The use of vasopressors is controversial and requires a nuanced approach SUMMARY OF MINIMIZING IATROGENIC INJURY RESTORE PERFUSION VOLUME REPLACEMENT Blood Products >>> Crystalloids Holcomb JB et al. NEJM 1994. [2]

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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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Bubble Wrap PLUS – January 2024

Don't Forget the Bubbles

Data collected from 2002 to 2021 revealed a 72% decline in IPD incidence among children (<18 years), with continued reductions after the transition from PCV7 to PCV13. Outcomes From a Randomized Clinical Trial. Two-Year Autism Risk Screening and 3-Year Developmental Outcomes in Very Preterm Infants. Lock JD, et al.