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EM@3AM: Retroperitoneal Hematoma

EMDocs

Laborator evaluation: CBC, CMP, lipase, type and screen, coagulation panel Treatment: 1-3 Resuscitation with blood products as necessary for hemodynamic stability. However, this patient’s response to fluid resuscitation, though only minimal to modest, indicates his ongoing bleeding is temporized with typical volume-mediated resuscitation.

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Episode 14: Thoracotomy

PHEM Cast

pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. Resuscitation; 2011: 1194-1197

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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls

Pediatric Emergency Playbook

Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. How Children are Different in Trauma In adults, we speak of “permissive hypotension” (also called “balanced resuscitation” or “damage control resuscitation”).

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Multisystem Trauma in Children, Part One: Airway, Chest Tubes, and Resuscitative Thoracotomy

Pediatric Emergency Playbook

Resuscitative Thoracotomy in Children In a 40-year review of ED thoracotomy, Moore et al. REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. 2011 Dec;71(6):1869-72.

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Episode 25: Tension pneumothorax 2

PHEM Cast

Pleural decompression and drainage during trauma reception and resuscitation. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Initial Management and Resuscitation of Severe Chest Trauma. The Journal of Emergency Medicine , 13 (2), 155–163. Beckett, A., Pannell, D.,

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Episode 19: Surgical Airway

PHEM Cast

Cricothyrotomy performed with the Melker set or the QuickTrach kit: procedure times, learning curves and operators’ preference. British Journal of Anaesthesia (2011) 106 (5): 617-631. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 21 , 43. Il Giornale Di Chirurgia , 35 (7-8), 165–170. Hyldmo, P.

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Episode 20: End Tidal Carbon Dioxide

PHEM Cast

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. N Cardiopulmonary resuscitation: capnogram showing positive waveforms during each compression suggesting effective cardiac compression generating pulmonary blood.

CPR 52