EMDocs

JULY 3, 2023

All patients with concern for SAH need a rapid primary survey to assess the airway, breathing, and circulation as well as a comprehensive neurologic exam to create a baseline for the patient. 27 Prudent transfer of patients to a center with neurosurgical capabilities should be considered in any SAH, though this is not well studied.

Seizures 98

Seizures Stroke Outcomes EMS 98

EMDocs

JUNE 3, 2023

23 Pelvic binding remains a critical resuscitation step well within the purview of the ED physician, and can be reviewed here: [link]. 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.

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. C or 100.4

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. It is important to closely monitor the patient’s haemodynamic status and repeat the pelvic x-ray post binder removal because a well-applied pelvic binder can mask fracture. When to put the pelvic binder on? Image via NG39 Fig.

Fractures 40

Fractures Blood Transfusions Sepsis Operations 40

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. 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.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Don't Forget the Bubbles

FEBRUARY 24, 2025

They were a well-grown, term infant born in good condition. 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. Sounding familiar?

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

The Trauma Pro

DECEMBER 10, 2024

This didn’t sit well with some, and a multicenter study was launched to look at this group more closely. 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.

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

EMDocs

JANUARY 6, 2025

A whole blood transfusion is initiated for the management of her anemia. She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. doi:10.1136/bmjgh-2018-001114 Okesanya OJ, Olatunji GD, Kokori E, et al. Published online January 30, 2018. link] Mazzola LT, Kelly-Cirino C.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72