Remove 2017 Remove Blood Transfusions Remove Documentation/Coding
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NFTI And STAT: Can They Replace The Cribari Grid?

The Trauma Pro

This fills in the code on the second tab which will be added to TraumaBase. J Trauma Nursing 24(3):150-157, 2017. They reviewed 2.5 years of their registry data (Level I center). If you use a different registry, contact your vendor for assistance. The spreadsheets consist of three tabs/pages. J Trauma Acute Care Surg.

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Sickle Cell Disease Module

Don't Forget the Bubbles

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?

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TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

RebelEM

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.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. Inclusion was based on suspected rather than confirmed TBI given treatment was in the field. Arch Surg 2012; 147:113-119.[

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Nachi : I’m sure there are many trials to come in the future documenting their safety profile, but moving on to the next pressor to discuss. One recent 2017 study examining the role of angiotensin 2 in those with septic shock already on 0.2 But this isn’t limited to the air. vasopressin. Jeff : And lastly, we have angiotensin 2.

Sepsis 40
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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

This neurological evaluation should include assessment and documentation of the GCS, the presence of any neurologic deficits, and an NIHSS. Blood Transfus. Neurosurgery 80(1):p 6-15, January 2017. Baseline neurological deficits from prior pathology should be elicited from the patient or family members if possible.