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Trauma Resuscitation Updates

RebelEM

JAMA 2015 [7] The PROPPR Trial 680 severely injured adult trauma patients Patients randomized to Plasma, Platelets, and PRBCs in a 1:1:1 ratio vs 1:1:2 ratio No difference in overall mortality at 24 hrs BUT 1:1:1 achieved hemostasis faster and fewer experienced death due to exsanguination at 24hrs Crombie N et al. NEJM 1994. [2] NEJM 1994. [2]

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Chemical Burns

Mind The Bleep

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. 2015 Jun;11(2):227-31. Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock. J Toxicol Clin Toxicol.

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Neuroleptic Malignant Syndrome

Northwestern EM Blog

Therefore, fluid resuscitation and maintenance are important. 12 March 2015. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] 2] Rigidity will lead to rhabdomyolysis with subsequent hyperkalemia and myoglobin-induced renal failure. References 1. Institute for Safe Medication Practices.

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EM@3AM: Amniotic Fluid Embolism

EMDocs

Amniotic fluid embolism: antepartum, intrapartum and demographic factors. 2015 May;28(7):793-8. Amniotic fluid embolism: a reappraisal. ” Am J Obstet Gynecol 201(5): 445 e441-413. link] Fong A, Chau CT, Pan D, Ogunyemi DA. J Matern Fetal Neonatal Med. doi: 10.3109/14767058.2014.932766. Epub 2014 Jun 30. PMID: 24974876.

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Orofacial Infections

Mind The Bleep

2015) ‘Emergency Department’, in On-call in Oral and Maxillofacial Surgery. Written by Dr Ruby Fussell BDS MFDS(Ed)

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EM@3AM: Endometritis

EMDocs

2015 Feb 2;2015(2):CD001067. Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Merck Manuals Professional Edition , Merck Manuals, 29 Jan. 2024, [link] Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis.

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. 2015 Nov;46(5):586–9. 2015 Jul 4;30(12):2115–9. 2015 [cited 2024 Jan 19]. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy. She appears pale and dehydrated , and her level of alertness fluctuates.