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Imported Malaria

Pediatric EM Morsels

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.

Seizures 278
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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. Objective MTP activation criteria have been developed and are well-supported by the literature. You can always send the blood back if you don’t need it! 2020 Feb;55(2):331-334. 2019.10.008.

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The Latest in Critical Care, 11/6/23 (Issue #19)

PulmCCM

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). Only it turns out, it did help. Or could, anyway.

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Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. Intensive Care Med 2020. [13] The Role of Whole Blood Transfusions in Civilian Trauma: A Review of Literature in Military and Civilian Trauma.

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Are we on the right TRACT? 

Don't Forget the Bubbles

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.

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There will be blood

Intensive Blog

What is an appropriate “trigger threshold” for blood transfusion in ECMO patients? Show answer Commonly, clinicians use a trigger of 80g/L (Tenure et al, 2020). Epub 2020 Sep 10. Epub 2020 Sep 10. Alfred Health (2020, April 18). Cannula site bleeding. What is your action now? doi: 10.1053/j.jvca.2020.08.068.

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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

RebelEM

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 ). Published 2020 Nov 2. Extracellular fluid tonicity impacts sickle red blood cell deformability and adhesion.