2011 Operations Shock 
EMDocs
SEPTEMBER 7, 2024
Clinical features include abdominal or flank pain; ecchymosis to the flank, periumbilical region, proximal thighs, or scrotum; and hemorrhagic shock early in the disease course. Epub 2011 Sep 10. For blunt injury to zone III, an alternative method for hemorrhage control should be pursued (e.g., angioembolization). J Emerg Med.
Taming the SRU
SEPTEMBER 1, 2023
to divert the plane). for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%
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Greater Sydney Area HEMS
APRIL 26, 2023
In contrast, shock (leading to syncope and rarely cardiac arrest) from ST can occur well before mechanisms of crush injury come into play, with low-flow states described as early as within 6 minutes (2). . Although remember, as is observed intra-operatively from tourniquet application, muscle can tolerate hours of hypoxia. Merchant D.
Greater Sydney Area HEMS
FEBRUARY 20, 2024
Obtaining access in shocked trauma patients can be notoriously difficult due to circulatory collapse. Those who are shocked, shut down with limited or no other options for peripheral access require central access. 2011; 106 : 732–737. [iv] The supraclavicular approach is not a new technique, but it is underutilised. Green et al.
Pediatric Emergency Playbook
MARCH 1, 2016
On arrival, he was in compensated shock, with tachycardia. Often children even with high-grade splenic and liver lacerations can be managed non-operatively. Unfortunately, a negative FAST cannot help with detecting or grading the laceration for non-operative management. 2011 May;18(5):477-82. Acad Emerg Med.
Pediatric Emergency Playbook
FEBRUARY 1, 2016
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. They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. 2011 Dec;71(6):1869-72. Brenner et al.
PHEM Cast
SEPTEMBER 6, 2017
You can also see when your treatment is working- if you give a patient in septic shock some fluid and improve their CO, you’ll see a rise in ETC02 You can confirm adequacy of respiratory function in the fitting or post-ictal patient when all other methods fail PITFALLS Device failure- lines blocking, batteries running out, pump failure.
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