Remove 2019 Remove Blood Transfusions Remove Shock
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Imported Malaria

Pediatric EM Morsels

2019; 17: 98. 2019; 47(2): 183–193. falciparum parasitemia , and no other defined cause of AMS (WHO 2023). PMID: 27186577 Conroy AL, Opoka RO, Bangirana P, Idro R, Ssenkusu JM, Datta D, Hodges JS, Morgan C, John CC. PMID: 31109328 Forgie EME, Brooks HM, Barton M, Hawkes M. Pediatric Malaria: Global and North American Perspectives.

Seizures 281
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Trauma Resuscitation Updates

RebelEM

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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MTP Activation Criteria For Pediatric Patients

The Trauma Pro

All of the trauma professionals are busy with the patient and are rudely surprised when they ask for the first unit of blood. The ABC score and the shock index are two of the more common methods. A score greater than or equal to one predicts at least a 2x higher need for blood. Epub 2019 Nov 1. But what about children?

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ToxCard: Iron

EMDocs

Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. 6 Severe toxicity and shock are typically seen with serum iron concentrations above 500 g/dL and serum iron concentrations above 1000 g/dL are associated with significant mortality. McGraw Hill; 2019.

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Vasopressor Nonresponse

Northwestern EM Blog

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

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

RebelEM

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.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Lancet 2019; Vol 394, Iss 10210, P 1713-1723[ Full Text ]. When looking at the subgroups with severe shock, there was an 18.5% When stratifying TXA administration time after injury and qualifying shock incidence, there appeared to be a lower 30 d mortality if TXA was given within 1 hour of the incident. MI or stroke).