Don't Forget the Bubbles

NOVEMBER 27, 2023

And lastly, it’s actually quite hard to see how well the cardiovascular system is working, and this is one of its measurable features. This works well for a while, but eventually, the heart beats too fast to fill adequately. The amount of blood that comes from the heart with each contraction is the stroke volume (SV).

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

RebelEM

JUNE 19, 2023

Demographics were well balanced in the two groups. 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. The PATCH-trauma researchers sought to address this critique. Lancet 2010; 376(9734): 23-32.

Outcomes 105

Outcomes Blood Transfusions Administration Hyperthermia / Hypothermia 105

Intensive Blog

AUGUST 17, 2023

What is an appropriate “trigger threshold” for blood transfusion in ECMO patients? Blood transfusion is common in ECMO patients, as evidenced by almost 90% of all patients receiving at least one packed red blood cell transfusion during VV-ECMO support (Kalbhenn and Zieger, 2022). 2020.08.068.

Blood Transfusions 52

Blood Transfusions Operations Wellness 52

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. Pediatr Blood Cancer. Epub 2023 Nov 27. 2023 Apr;98(4):620-627.

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

Don't Forget the Bubbles

NOVEMBER 18, 2024

However, if the infant is well-perfused, cardiovascularly stable, and showing no signs of organ dysfunction, active treatment may not be necessary. 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.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

Dr. Smith's ECG Blog

AUGUST 14, 2023

OMI recognition cannot be learned well by reading text, but our best "sentence" or "criteria" for helping learners see posterior OMI is: In the context of acute symptoms suspicious for ACS, ST depression maximal in V1-V4 (without an abnormal QRS cause) is specific for posterior OMI until proven otherwise. The RVH is not new.

EKG/ECG 52

EKG/ECG Blood Transfusions Wellness 52

Mind The Bleep

JULY 23, 2023

S, 2023) An image of bilious gastric aspirates. Parikh NS, 2023) Meconium ileus mostly occurs in cystic fibrosis because of the mutation that affects the CFTR. Increased risk in growth restricted infants, premature babies, maternal drug abuse, formula fed babies, infants receiving blood transfusions.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

EMDocs

JUNE 3, 2023

23 Pelvic binding remains a critical resuscitation step well within the purview of the ED physician, and can be reviewed here: [link]. Accessed on April 15, 2023. Accessed April 15, 2023. Accessed April 29, 2023. Published April 17, 2023. Accessed April 29, 2023. Published April 18, 2023.

Fractures 54

Fractures Resuscitation Operations EMS 54

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 88

Blood Transfusions Anaphylaxis Emergency Department Sepsis 88

The Trauma Pro

SEPTEMBER 18, 2023

Severe injury and blood transfusion are already known to be associated with a higher likelihood of VTE. The fact that the longer door-to-prophylaxis group had more frequent VTE may very well be due to their higher ISS and greater number of transfusions. AAST 2023, Plenary paper #38.

Blood Transfusions 113

Blood Transfusions Resuscitation Hospitals Wellness 113

RebelEM

FEBRUARY 22, 2024

The Myocardial Ischemia and Transfusion (MINT) trial is the largest study to date examining the impact of a liberal versus restrictive transfusion strategy on outcomes in this patient population. Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia. in liberal) received a blood transfusion (2.3

Blood Transfusions 58

Blood Transfusions Outcomes Wellness Research 58

Sensible Medicine

NOVEMBER 18, 2023

Do I have to request my blood transfusion be screened for HIV? There is no good evidence that making health care providers who feel well wear flimsy surgical masks lowers iatrogenic spread to patients. Do I have to request a surgeon use sterile instruments? Second, the assumption is false.

Blood Transfusions 133

Blood Transfusions Hospitals Wellness 133

The Trauma Pro

DECEMBER 10, 2024

This didn’t sit well with some, and a multicenter study was launched to look at this group more closely. doi: 10.1136/tsaco-2023-001159. But what about low-grade isolated spleen injuries with a contrast blush? Apparently, a few authors believe that this may be a benign condition that doesn’t require any specific management.

Blood Transfusions 147

Blood Transfusions Radiology Radiology Emergency Department 147

EMDocs

JANUARY 6, 2025

A whole blood transfusion is initiated for the management of her anemia. She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 1 By the end of 2023, 117.3 43% of refugees admitted into the US in the first 8 months of the 2023 fiscal year were from Africa.

Infectious Diseases 57

Infectious Diseases CDC PPE Rapid Diagnostic Testing 57