Mind The Bleep

JULY 23, 2023

Increased risk in growth restricted infants, premature babies, maternal drug abuse, formula fed babies, infants receiving blood transfusions. There has also be a reported link between maternal diabetes and an increased risk of meconium plug. Cause: Obstruction due to an inspissated plug of meconium. Bilious Vomiting in the Newborn.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

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 90

Blood Transfusions Anaphylaxis Emergency Department Sepsis 90

EB Medicine

OCTOBER 1, 2018

Anyway… one quick note on blood transfusions before we move on to special populations - Although part of the original early goal directed therapy, thanks to data from the TRISS trial which showed no difference in outcomes with a transfusion goal of 7 vs 9, transfusions are reserved for those with a hbg of less than 7.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

JULY 3, 2023

Blood Transfus. 2018 Mar 5;6:17. 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. Neurocrit Care. 2016 Aug;25(1):29-39.

Seizures 98

Seizures Stroke Outcomes EMS 98

EMDocs

JUNE 3, 2023

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. Published October 9, 2018. 2021;52(10):2697-2701. doi:10.1016/j.injury.2020.01.042 2010;376(9734):23-32. doi:10.1016/S0140-6736(10)60835-16.

Fractures 60

Fractures Resuscitation Operations EMS 60

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. 2018 Aug;46(3):144-151. Epub 2018 Oct 17. 2022 Jul 5;328(1):57-68.

Pediatrics 94

Pediatrics Dehydration EMS Hospitals 94

RCEM Learning

NOVEMBER 28, 2022

Only 50% were positioned correctly according to a survey done in 2018 7. When to put the pelvic binder on? See guidance below from NICE Pathway and Royal College of Surgeons of Edinburgh on when to apply the pelvic binder 3. Image via NG39 Fig. 24 8 Essentially apply the pelvic binder if in doubt or if pelvic fracture is suspected.

Fractures 40

Fractures Blood Transfusions Sepsis Operations 40

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

Don't Forget the Bubbles

FEBRUARY 24, 2025

The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Exchange blood transfusion in the management of severe pertussis in young infants. Exchange transfusion safety and outcomes in neonatal hyperbilirubinemia. Paediatric Critical Care Medicine 19(3):p 254-261 March 2018 Long et al. Pediatrics.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

The Trauma Pro

DECEMBER 10, 2024

The 2018 update automatically upgrades injuries with blush or extravasation to Grade IV. The 2018 update bore this out, and this paper confirms that low-grade anatomic injuries become dangerous if extravasation is present. During that period, the AAST spleen and liver injury grading scales did not consider vascular injury.

Blood Transfusions 147

Blood Transfusions Radiology Radiology Emergency Department 147

RebelEM

DECEMBER 23, 2024

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ).

Fluid Resuscitation 124

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 124

Broome Docs

DECEMBER 22, 2024

Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial. 2018 Nov 22;379(21):2002-2014. 2024 Oct 9. doi: 10.1001/jama.2024.20424. 2024.20424. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med. doi: 10.1056/NEJMoa1802598.

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

EMDocs

JANUARY 6, 2025

A whole blood transfusion is initiated for the management of her anemia. doi:10.1136/bmjgh-2018-001114 Okesanya OJ, Olatunji GD, Kokori E, et al. Published online January 30, 2018. She receives IV antimalarials for severe malaria (as defined by AKI, anemia, electrolyte imbalance, and a history of convulsions). 2024;30(7).

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72