Remove 2012 Remove Fractures Remove Shock
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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

13 That is to say nothing of the effect that the type and response to shock has on the individual patients involved in these studies. just be careful with pelvic fractures or any femoral arterial punctures/ devices. Oct 2012; PMID: 23043910 Kumar A, et al. M-mode measurements are prone to error because of a cylindrical effect.

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Trauma Resuscitation Updates

RebelEM

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%

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London HEMS pre-hospital REBOA video

ETM Course

Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. Intra-Aortic Balloon Occlusion to Salvage Patients with Life-Threatening Hemorrhagic Shocks from Pelvic Fractures J Trauma 2010; 68(4): 942–8 (full article free text) 3. Shock 2014; 41(2): 130–7 12. Martinelli et al.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

2012 PMID: 21893125. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation. Additional sites such as the sternal, iliac crest, distal femur, and distal tibia have also been utilized, and the use of these alternative sites should be considered based on the clinical presentation.

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Episode 11: Gentle Patient Handling

PHEM Cast

An injury involving only the anterior column is considered to be stable, as will an isolated fracture of a spinous or transverse process. 2012 May;37(11):937–42. Journal of Emergencies, Trauma, and Shock. Posterior column: facet joints, ligamentum flavum, the spinous processes and the interconnecting ligaments. J Neurotrauma.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

2012 Jan 13;61(RR-1):1-20. The most common injuries seen in these younger patients are growth plate fractures and ligamentous injuries. You more often will see vertebral body and arch fractures as opposed to the growth plate fractures and ligamentous injuries in the younger children. than it is spinal shock.

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The 85th Bubble Wrap Bristol Royal Children’s ED Journal Club x DFTB

Don't Forget the Bubbles

The others, such as respiratory rate, heart rate, and decompensated shock, were excluded due to the presumed difficulty for non-healthcare professionals to assess them accurately. 2012 Aug 15;(8):CD004872. There is a significant misalignment between parent and professional scoring systems. Cochrane Database Syst Rev. PMID: 22895944.