Don't Forget the Bubbles

JULY 5, 2023

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Would you consider this patient for blood transfusion?

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Blood Transfusions Stroke Dehydration Sepsis 125

Don't Forget the Bubbles

JANUARY 10, 2024

Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. However, there is a huge variation in transfusion practice globally.

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Blood Transfusions Outcomes Research Hospitals 76

EMDocs

AUGUST 22, 2023

Capnography has several novel uses in other disease states commonly seen in the ED such as trauma, DKA, sepsis and obstructive lung disease. Capnography in the Emergency Department: A Review of Uses, Waveforms, and Limitations. J Emerg Med. Ann Emerg Med. West J Emerg Med. BMC Emerg Med.

Emergency Department 68

Emergency Department Blood Transfusions Resuscitation Sepsis 68

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. While they are a lifesaving staple of medicine, they also come with risks that emergency providers must be aware of. One of the major risk factors is receiving a blood transfusion in the past.

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Blood Transfusions Anaphylaxis Emergency Department Sepsis 89

Don't Forget the Bubbles

NOVEMBER 18, 2024

For ease, the one that helps me remember: Blood pressure = CO x SVR Causes of neonatal hypotension Prematurity: The most prevalent factor due to the underdevelopment of heart muscle, neuroendocrine system, and autonomic nervous control. Sepsis: This can induce widespread vasodilation and capillary leak, exacerbating hypotension.

Sepsis 57

Sepsis Shock Hyperthermia / Hypothermia Administration 57

Taming the SRU

APRIL 3, 2023

Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9%

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Blood Transfusions Fluid Resuscitation Resuscitation Stroke 40

Northwestern EM Blog

JANUARY 24, 2022

Acidosis Acidosis in shock states can present from multiple different sources, including sepsis, hypoxemia, ingestions, hyperlactatemia from hypoperfusion, amongst others. Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) Curr Opin Crit Care.

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Anaphylaxis Shock Sepsis Resuscitation 52