Pediatric EM Morsels
NOVEMBER 3, 2023
falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. vivax , P. knowlesi and P.
ALiEM
MAY 29, 2023
Because he presumably had uremia-induced thrombasthenia (weak platelets), he received blood transfusions and IV TXA. We thus removed the anterior packing and instead inserted a Foley catheter into the posterior nasal space and inflated the balloon. Unfortunately, the bleeding still continued. Interested in Other Tricks of the Trade?
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The Trauma Pro
JUNE 18, 2024
You can always send the blood back if you don’t need it! Reference: The ABC-D score improves the sensitivity in predicting need for massive transfusion in pediatric trauma patients. 2020 Feb;55(2):331-334. This was termed the ABC-D score. J Pediatr Surg. doi: 10.1016/j.jpedsurg.2019.10.008. 2019.10.008. Epub 2019 Nov 1.
Don't Forget the Bubbles
JANUARY 10, 2024
Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. However, there is a huge variation in transfusion practice globally.
RebelEM
MAY 25, 2023
Intensive Care Med 2020. [13] The Role of Whole Blood Transfusions in Civilian Trauma: A Review of Literature in Military and Civilian Trauma. 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.
EMDocs
MAY 15, 2024
Management includes rapid initiation of opioid and non-opioid agents to treat the pain associated with vaso-occlusive crisis, antimicrobial coverage, incentive spirometry, oxygen supplementation to maintain saturation > 95%, fluid resuscitation based on volume status, consideration for transfusion, and specialist consultation.
PulmCCM
NOVEMBER 6, 2023
The therapy was approved for emergency use in 2020 by FDA after an observational study of 10 patients showed likely benefit (yes, 10, which should remind us of our collective desperation). patients infected with the Wuhan/Delta variants in 2020-2021).
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