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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls

Pediatric Emergency Playbook

The Trauma Death Spiral Lethal triad of hypothermia, acidosis, and coagulopathy. Fox et al in Academic Emergency Medicine found a sensitivity of 52%; with a 95% confidence interval [CI] = 31% to 73%. Often children even with high-grade splenic and liver lacerations can be managed non-operatively.

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Seeing Peter Safar, and his work

Advanced Emergency Nursing from AENJ

Safar's work, in a series of studies and papers, validated manual methods of opening the airway, in use by anesthesiologists but relatively unknown outside the operating room, as effective and able to be taught and used by lay people. Research into post-arrest after-care, therapeutic hypothermia, reanimatology.

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

While many healthcare systems across the world operate in a similar fashion, the United States does not. If you work in a tertiary academic center with a catheterization lab and/or ECMO immediately available, the application of a second defibrillator may not be immediately needed. REFERENCES: Cheskes S, et al.

EMS 52
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The 87th Bubble Wrap

Don't Forget the Bubbles

They all used different ultrasound devices with varying levels of operator training. Samuels-Kalow, Inaccuracy of temporal thermometer measurement by age and race, Academic Pediatrics, (2024) doi:[link] Whats it about? Six studies met the inclusion criteria. Salhi, Melissa A. Meeker, Carey Williams, Theodore J. Iwashyna and Margaret E.