RebelEM

MAY 25, 2023

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

EMDocs

DECEMBER 6, 2024

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Blood transfusion for clinically significant blood loss. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. McGraw Hill; 2019. Antiemetics as needed. 2 L/hr in adults.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

The Trauma Pro

JUNE 18, 2024

Early resuscitation, particularly with blood products in patients with hemorrhage, is literally a lifesaver. To facilitate this, massive transfusion protocols (MTP) have been designed to rapidly deliver sizable quantities of blood products to the trauma resuscitation bay. Epub 2019 Nov 1. Bottom line: Hmm.

Pediatrics 113

Pediatrics Blood Transfusions Resuscitation Shock 113

EMDocs

JUNE 22, 2024

Electronic address, p. “Amniotic fluid embolism: diagnosis and management.” ” Am J Obstet Gynecol 215(2): B16-24. link] j.ajog.2016.03.012 2016.03.012 Patel, P., “Markers of Inflammation and Infection in Sepsis and Disseminated Intravascular Coagulation.” ” Clin Appl Thromb Hemost 25: 1076029619843338.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

EMDocs

AUGUST 22, 2023

2019 American Heart Association Focused Update on Advanced Cardiovascular Life Support: Use of Advanced Airways, Vasopressors, and Extracorporeal Cardiopulmonary Resuscitation During Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Emergency Department 94

Emergency Department Blood Transfusions Resuscitation Sepsis 94

RebelEM

SEPTEMBER 26, 2022

Hayes-Larson 2019). Thromboelastography-guided transfusion decreases intraoperative blood transfusion during orthotopic liver transplantation: a randomized clinical trial. Significant coagulopathy: INR > 1.8 Table 1 Analysis: Simply put, Table 1 defines “Who is in this study?” Ann Intern Med. 2010;152(11):726-732.

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock. 2010; 36: 2019-2029.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52