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Giving TXA Via An Intraosseous Line?

The Trauma Pro

The US military has adopted its routine use at forward combat hospitals. This can and does occur with military type injuries. This study used an adult swine model with hemorrhage and aortic crossclamping to simulate military injury and resuscitation. But for our military colleagues, this could be a very valuable tool!

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Best Of AAST #7: How Do You Like Your Platelets – Warm Or Cold?

The Trauma Pro

Researchers from the US Army performed a retrospective registry study on a sample of military casualties over four years. I’m surprised that a military registry could only come up with 75 patients a year to analyze. They identified soldiers who received either room-temperature or cold-stored platelets.

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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

Supports provided predominantly by in vitro studies, a randomized trial in military recruits, and some observational studies in which inclusion of mycoplasma pneumoniae specific therapy was associated with a decreased risk of treatment failure. There was publication bias, heterogeneity, and lack of blinding. I can’t bear it.

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emDOCs Podcast – Episode 102: Hypocalcemia in Trauma and the Diamond of Death

EMDocs

Two randomized controlled trials by Moore et al found that prehospital plasma administration in trauma patients is associated with hypoCa (53% vs 36%). Prehospital Ca administration reduces risk of hypoCa on arrival (70% vs. 28%). Make Ca administration a part of your massive transfusion protocol. Emerg Med J. Emerg Med J.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

Initial Rollout America’s Military Health System (MHS) was the first major organization to adopt Red Cross ALS and PALS training. Initially, following an initial “beta test” with military medical students and faculty at the Uniformed Services University in Bethesda, Md., This makes the material more relevant to health professionals.

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Trauma Resuscitation Updates

RebelEM

The Role of Whole Blood Transfusions in Civilian Trauma: A Review of Literature in Military and Civilian Trauma. Efficacy and Safety of Early Administration of 4-Factor Prothrombin Complex Concentrate in Patients with Trauma at Risk of Massive Transfusion: The PROCOAG Randomized Clinical Trial. Intensive Care Med 2020. [13]

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Meet the Emergency Physicians Running for Congress

ACEP Now

Between deployments, Dr. McCormick earned his Master of Business Administration from National University and medical degree from Morehouse School of Medicine in Atlanta. Right now, there’s no incentive to get people out of the emergency department by hospital administrators. You don’t get that from other places, maybe the military.