RebelEM

SEPTEMBER 26, 2022

A meta-analysis of fifteen RCTs comparing blood product transfusion rates of cardiothoracic and surgery patients found significantly lower transfusion rates of FFP in TEG/ROTEM guided group compared to traditional tests, with no difference in survival rates (Fahrendorff 2017). Published 2017 Apr 13. 2017;25(1):39.

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

Don't Forget the Bubbles

NOVEMBER 27, 2023

The citrate in blood products can also bind to calcium and cause a drop in calcium levels, so do anticipate this for any children requiring blood transfusion. Shock and sepsis itself can cause low calcium levels due to intracellular shifts and lactate-binding calcium. Published 2021 Apr 16. link] Roland D. Inotropes made simple.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

Mind The Bleep

JULY 23, 2023

Sathe M, 2017) Age at onset: Often diagnosed antenatally, but if not presents within a few hours of birth Presentation : Abdominal distension, failure to pass meconium, bilious vomiting. Sathe M, 2017) Barium enema in a neonate demonstrating a diffuse microcolon secondary to meconium ileus. Obtain chest and abdominal x-rays.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

Don't Forget the Bubbles

NOVEMBER 18, 2024

Perinatal Blood Loss: Significant blood loss during delivery, whether due to placental abruption, vasa previa, or traumatic delivery, can result in anaemia and subsequent hypotension. If anaemia is confirmed, a blood transfusion may be necessary to restore adequate circulatory volume and improve oxygen-carrying capacity.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

EMDocs

JUNE 27, 2024

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2017 Dec 1;30(4):191-201. F temporal, RR 25, SpO2 89% on room air.

Pediatrics 75

Pediatrics Dehydration EMS Hospitals 75

Northwestern EM Blog

JANUARY 24, 2022

Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) 2017; 45(9): 1443-1449. Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. may have greater severity of shock with increased mortality. 2010; 36: 2019-2029.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EMDocs

JUNE 3, 2023

For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link]. Published 2017 Jan 18. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. BJJ-2017-0852.R1

Fractures 54

Fractures Resuscitation Operations EMS 54

Downeast Emergency Medicine

APRIL 26, 2021

9] The BRAIN-PROJECT was a multicenter observational study of the prehospital treatment of patients with severe TBI (based on trauma mechanism or clinical findings and a prehospital GCS <9) who were treated by one of the four Dutch physician-staffed Helicopter Emergency Medical Services from 2012-2017. Arch Surg 2012; 147:113-119.[

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EB Medicine

OCTOBER 1, 2018

One recent 2017 study examining the role of angiotensin 2 in those with septic shock already on 0.2 Nachi : Phenylephrine, a pure alpha adrenergic agent, is next and should be considered neither first nor second line, but it may have a role as a push dose agent while preparing other vasoactive agents. Jeff : And lastly, we have angiotensin 2.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

JULY 3, 2023

Blood Transfus. Neurosurgery 80(1):p 6-15, January 2017. Curr Neurol Neurosci Reports. 2018;18(10):71.  2018;18(10):71. Zanon E, Pasca S. Intracranial haemorrhage in children and adults with haemophilia A and B: a literature review of the last 20 years. 2019 Sep;17(5):378-384. Dubosh NM, Bellolio MF, Rabinstein AA, et al.

Seizures 85

Seizures Stroke Outcomes EMS 85

RebelEM

FEBRUARY 22, 2024

PMID 37952133 Clinical Question: In patients with acute myocardial infarction and anemia, does a restrictive or liberal transfusion strategy affect the risk of death or recurrent myocardial infarction at 30 days? in liberal) received a blood transfusion (2.3 Third universal definition of myocardial infarction. Circulation.

Blood Transfusions 59

Blood Transfusions Outcomes Wellness Research 59