article thumbnail

Trauma Resuscitation Updates

RebelEM

In the initial management of trauma patients there are 4 key principles that should be followed: Control bleeding Restore tissue perfusion Minimize iatrogenic injury from the resuscitation itself Promote hemostasis References: Dutton RP et al. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality.

article thumbnail

Vomiting in the Young Child: Nothing or Nightmare

Pediatric Emergency Playbook

Abusive head injury is the most common cause of death from child abuse. Up to 30% of infants with abusive head injury may be misdiagnosed on initial presentation. 2002; 141(6):793-7. Infants especially present with non-specific complaints like fussiness or vomiting. Louwers et al. J Emerg Med.