RebelEM

MAY 25, 2023

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Ann Emerg Med 2017 [6] This was a retrospective database review of 7521 traumatic brain injury patients SBP target ≥90mmHg resulted in a mortality of 7.8% vs SBP target <90mmHg which resulted in a mortality of 33.4%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Downeast Emergency Medicine

APRIL 26, 2021

A post-hoc analysis showed a lower 30-day mortality of those receiving TXA within an hour of their injury. When looking at the subgroups with severe shock, there was an 18.5% The primary outcome was head injury-related death in-hospital within 28 days of injury. MI or stroke).

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

PHEM Cast

FEBRUARY 23, 2017

Early correction of hypotension (especially if blunt trauma / associated head injury) The balances of harms in the context of blunt trauma between the negative effects of infusing saline versus the negative effects of hypotension are unknown and prehospital actions need to be customised to an individual patient and situation.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

Pediatric Emergency Playbook

JANUARY 1, 2016

Be aware that later stages of malrotation may present as shock – they present in hypovolemic shock due to third-spacing from necrotic bowel and/or septic shock from translocation or perforation. Abusive head injury is the most common cause of death from child abuse. 2012; 43(1): e49–e51. Louwers et al.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40