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

Don't Forget the Bubbles

JULY 5, 2023

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Would you consider this patient for blood transfusion?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. Transfusion reactions are a spectrum of adverse events that can occur with the transfusion of whole blood or any of its components. One of the major risk factors is receiving a blood transfusion in the past.

Blood Transfusions 89

Blood Transfusions Anaphylaxis Emergency Department Sepsis 89

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

JUNE 12, 2024

Hypocalcemia in trauma patients receiving massive transfusion. Concentration-Dependent Effect of Hypocalcaemia on Mortality of Patients with Critical Bleeding Requiring Massive Transfusion: A Cohort Study. Citrate metabolism in blood transfusions and its relationship due to metabolic alkalosis and respiratory acidosis.

Hyperthermia / Hypothermia 100

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 100

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

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 57

Fractures Resuscitation Operations EMS 57

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 88

Pediatrics Dehydration EMS Hospitals 88

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 95

Seizures Stroke Outcomes EMS 95

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 58

Blood Transfusions Outcomes Wellness Research 58

EMDocs

JANUARY 6, 2025

A whole blood transfusion is initiated for the management of her anemia. She receives IV antimalarials for severe malaria (as defined by AKI, anemia, electrolyte imbalance, and a history of convulsions). Hypoglycemia is managed with IV dextrose. Lassa fever: epidemiology, clinical features, and social consequences. doi:10.1136/bmj.327.7426.1271

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67