EMDocs

DECEMBER 6, 2024

Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. 6 Severe toxicity and shock are typically seen with serum iron concentrations above 500 g/dL and serum iron concentrations above 1000 g/dL are associated with significant mortality. Published 2012 Jul 1.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

RebelEM

MAY 25, 2023

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

PHEM Cast

FEBRUARY 23, 2017

Prehospital Blood Product Resuscitation for Trauma. Shorter times to packed red blood cell transfusion are associated with decreased risk of death in traumatically injured patients. Penn-Barwell JG, Roberts SA, Midwinter MJ, Bishop JR: Improved survival in UK combat casualties from Iraq and Afghanistan: 2003-2012.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

The Skeptics' Guide to EM

MARCH 10, 2018

The American College of Chest Physicians published some evidence-based recommendations in 2012 on anticoagulation therapy [1]. TXA has been widely used in elective surgical cases and has shown decreased need for blood transfusion and reduction in mortality. shock, a bleeding visible vessel, renal disease, or lack of consent.

Blood Transfusions 40

Blood Transfusions Emergency Department Shock Hospitals 40

Downeast Emergency Medicine

APRIL 26, 2021

When looking at the subgroups with severe shock, there was an 18.5% When stratifying TXA administration time after injury and qualifying shock incidence, there appeared to be a lower 30 d mortality if TXA was given within 1 hour of the incident. Arch Surg 2012; 147:113-119.[ MI or stroke). J Thromb Haemost 2019;17:852-862.[

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EB Medicine

MARCH 1, 2019

Consider valvular injury in any patient who appears to be in cardiogenic shock, has hypotension without obvious hemorrhage, or has pulmonary edema. In those with severe injury, you may note refractory hypotension secondary to cardiogenic shock. The latter also recommend ED thoracotomy in those with refractory shock.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Pediatric EM Morsels

MARCH 7, 2025

While transfusing blood can be beneficial to those who have lost it or continue to lose it quickly, blood may not always be immediately available. Or maybe the family does not desire blood transfusions. 2012 Feb;147(2):113-9. Enter TXA or tranexamic acid , The Clot Stabilizer! 2010Jul 03;376(9734):23-32.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231