Don't Forget the Bubbles

NOVEMBER 27, 2023

The citrate in blood products can also bind to calcium and cause a drop in calcium levels, so do anticipate this for any children requiring blood transfusion. Published 2021 Apr 16. Shock and sepsis itself can cause low calcium levels due to intracellular shifts and lactate-binding calcium. 2021;25(1):146. link] Roland D.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

Downeast Emergency Medicine

APRIL 26, 2021

Blood Coagul Fibrinolysis. 2021 Jan 1;32(1):37-43. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant hemorrhage (CRASH-2): a randomized, placebo-controlled trial. Rivas L, Estroff J, Sparks A, et al. Arch Surg 2012; 147:113-119.[

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. Transfusion reactions are a spectrum of adverse events that can occur with the transfusion of whole blood or any of its components. One of the major risk factors is receiving a blood transfusion in the past.

Blood Transfusions 90

Blood Transfusions Anaphylaxis Emergency Department Sepsis 90

Don't Forget the Bubbles

OCTOBER 28, 2024

To address this, there is ongoing debate about whether we should consider using a whole blood transfusion approach. Rhaenyra continues to receive blood products in a 1:1:1 ratio. After Rhaenyra’s next unit of blood transfusion is complete, you get a venous blood gas. Published 2021 Apr 29.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

PHEM Cast

NOVEMBER 28, 2022

Anti‐fibrinolytic use for minimising perioperative allogeneic blood transfusion. Scand J Trauma Resusc Emerg Med 29, 6 (2021). British Journal of Anaesthesia, Volume 126, Issue 1,2021 [link] Henry DA, Carless PA, Moxey AJ, O’Connell D, Stokes BJ, Fergusson DA, Ker K. Cochrane Database of Systematic Reviews 2011, Issue 3.

Blood Transfusions 52

Blood Transfusions Administration Research 52

EMDocs

JULY 3, 2023

Blood Transfus. 2021 Nov;30(11):106064. Effectiveness of nicardipine for blood pressure control in patients with subarachnoid hemorrhage. 2021 Dec;35(3):662-668. Curr Neurol Neurosci Reports. 2018;18(10):71.  2018;18(10):71. Zanon E, Pasca S. 2019 Sep;17(5):378-384. Dubosh NM, Bellolio MF, Rabinstein AA, et al.

Seizures 98

Seizures Stroke Outcomes EMS 98

EMDocs

JUNE 3, 2023

2021 Aug 05;21:101558]. 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. 2023;158(1):63-71. doi:10.1001/jamasurg.2022.5772 2022.5772 Perumal R, S DCR, P SS, Jayaramaraju D, Sen RK, Trikha V.

Fractures 66

Fractures Resuscitation Operations EMS 66

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. 2021 Sep;194(5):899-907. Epub 2021 Jul 15. Br J Haematol.

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98

Pediatric EM Morsels

MARCH 7, 2025

While transfusing blood can be beneficial to those who have lost it or continue to lose it quickly, blood may not always be immediately available. Or maybe the family does not desire blood transfusions. Enter TXA or tranexamic acid , The Clot Stabilizer! of IV form TXA [O’Neill 2020] Inexpensive !

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Don't Forget the Bubbles

JANUARY 1, 2024

Data collected from 2002 to 2021 revealed a 72% decline in IPD incidence among children (<18 years), with continued reductions after the transition from PCV7 to PCV13. During the COVID-19 pandemic (2020-2021), the incidence of IPD reached its lowest level in 20 years. Lo Vecchio A, et al.J 2023 Dec 20:113876. Rose Sun DL, et al.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Don't Forget the Bubbles

FEBRUARY 24, 2025

Exchange blood transfusion in the management of severe pertussis in young infants. Exchange transfusion safety and outcomes in neonatal hyperbilirubinemia. 2021 Oct;10(10):2858-2874. An Observational Study of Severe Pertussis in 100 Infants 120 Days of Age. Nieves et al. Pediatr Infect Dis J. 2013;32:6989 Wolf et al.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

RebelEM

DECEMBER 23, 2024

Within this population, over 90% of healthcare encounters are due to painful vaso-occlusive episodes (VOE) ( Kidwell 2021 ). Published 2021 Feb 22. Background: Sickle cell disease (SCD) affects an estimated 300,000 infants born worldwide each year and has a total estimated prevalence of 100,000 in the United States alone ( Piel 2017 ).

Fluid Resuscitation 129

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 129

PulmCCM

JANUARY 13, 2025

Effect of a Restrictive vs Liberal Blood Transfusion Strategy on Major Cardiovascular Events Among Patients With Acute Myocardial Infarction and Anemia: The REALITY Randomized Clinical Trial. 2021 Feb 9;325(6):552-560. doi: 10.1001/jama.2021.0135. PMID: 33560322; PMCID: PMC7873781. Carson et al.

Blood Transfusions 52

Blood Transfusions Outcomes 52

Don't Forget the Bubbles

NOVEMBER 18, 2024

Perinatal Blood Loss: Significant blood loss during delivery, whether due to placental abruption, vasa previa, or traumatic delivery, can result in anaemia and subsequent hypotension. If anaemia is confirmed, a blood transfusion may be necessary to restore adequate circulatory volume and improve oxygen-carrying capacity.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

EMDocs

MARCH 24, 2025

7 The disease spreads primarily through unprotected sexual contact, sharing of contaminated needles, blood transfusions, and from mother to child during childbirth or breastfeeding. The virus spreads through unprotected sex, blood transfusions, injection drug use, and from mother to child. Rev Med Virol. doi:10.1002/rmv.1739

CDC 92

CDC Blood Transfusions Infectious Diseases Sexual Assault 92

EMDocs

JANUARY 6, 2025

A whole blood transfusion is initiated for the management of her anemia. 2021-0784 Long B, MacDonald A, Liang SY, et al. Published online July 1, 2021. She receives IV antimalarials for severe malaria (as defined by AKI, anemia, electrolyte imbalance, and a history of convulsions). Leptospirosis Fact Sheet for Clinicians.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75