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ToxCard: Iron

EMDocs

Blood transfusion for clinically significant blood loss. 5 Consider exchange transfusion in addition to deferoxamine for serum iron concentrations greater than 1000 g/dL, or those who clinically deteriorate despite supportive care and chelation. Pediatric Emergency Care, 27 (10), 978-985. doi: 10.1097/PEC.0b013e3182302604.

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ This is a unique scenario where interventional radiology, orthopedic surgery, and trauma surgery all have potential roles, and it is most important for emergency physicians to know their own institutional policies on unstable pelvic trauma.

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A guide to major haemorrhage management in paediatrics

Don't Forget the Bubbles

doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. To address this, there is ongoing debate about whether we should consider using a whole blood transfusion approach. Rhaenyra continues to receive blood products in a 1:1:1 ratio.

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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. Blood Transfus.  2018;18(10):71.

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Grand Rounds Recap 5.3.23

Taming the SRU

million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

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Low Grade Spleen Injury With Contrast Blush

The Trauma Pro

In fact, some trauma centers actually discharge these patients home from the emergency department. If you have a patient with a spleen or liver injury that has contrast extravasation or a pseudoaneurysm, consider this a patient that needs hemorrhage control by interventional radiology under Standard 4.15