2022 Blood Transfusions Resuscitation 
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%
EMDocs
MAY 15, 2024
Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Simple blood transfusion should be considered early in the hypoxemic patient with advancement to red cell exchange transfusion if there are clinical features of severe pathology or evidence of progression despite initial simple transfusion.
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EMDocs
MAY 28, 2024
Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Blood transfusion Reduces the overall proportion of HbS. 2022 Aug;58:235-244. Epub 2022 Jun 11. Decreases splinting and improves tidal volumes. Bronchodilators Indicated for patients with wheezing, history of asthma.
ALiEM
NOVEMBER 3, 2023
Highlighted Quality Posts: Trauma Site Article Author Date Label Rebel EM Trauma Resuscitation Update Salim Rezaie, MD May 25, 2023 AIR EM Docs Unstable Pelvic Trauma Patient Luke Wohlford, MD June 3, 2023 AIR EM Docs Maxillofacial Trauma Forrest Turner, MD October 17, 2022 AIR Rebel EM PATCH trauma trial Anand Swaminathan, MD June 19, 2023 HM Don’t (..)
PulmCCM
NOVEMBER 17, 2023
In the second thought experiment, let us consider a patient with significant blood volume loss that is replenished with a series of blood transfusions. Operating point guided resuscitation How do we make sense of this? The trick, I believe, lies in ‘operating point guided resuscitation’ [OPGR].
PulmCCM
NOVEMBER 6, 2023
open label) at 17 sites in Belgium in 2020-2022, 35% of those receiving plasma died at 28 days, vs. 45% of the usual care patients — a number needed to treat of 10 to save one life. This can interrupt massive blood loss and buy time for potentially life-saving damage control surgery.
Taming the SRU
APRIL 3, 2023
Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9%
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