RebelEM

OCTOBER 30, 2023

PMID: 37824155 Clinical Question: Does transfusion of early and empiric high-dose cryoprecipitate in addition to standard care improve survival in bleeding patients with trauma who require activation of a major hemorrhage protocol? The optimal approach to fibrinogen administration in massive hemorrhage protocols is unknown. to 1.23; p = 0.74

Administration 128

Administration Blood Transfusions Outcomes Hospitals 128

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

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. The Role of Whole Blood Transfusions in Civilian Trauma: A Review of Literature in Military and Civilian Trauma. NEJM 1994. [2] Cureus 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

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

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 75

Pediatrics Dehydration EMS Hospitals 75

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

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 147

Blood Transfusions Resuscitation Hospitals Wellness 147

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 59

Blood Transfusions Outcomes Wellness Research 59

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 140

Blood Transfusions Hospitals Wellness 140