Emergency Medicine Cases

JUNE 27, 2017

Two classic EM Cases main episode podcasts, IV Iron for Anemia in EM with Jeannie Callum and Walter Himmel, and Emergency Management of Hyponatremia with Melanie Baimel and Ed Etchells are covered in the latest Rapid Reviews Videos by Taryn Lloyd and Nick Clarridge.

Blood Transfusions 52

Blood Transfusions EMS 52

RebelEM

OCTOBER 30, 2023

This would normally make me worry about dilution of results and biasing the results to the null hypothesis, but in the per protocol analysis (170 patients excluded from the full cohort, due to no longer requiring blood transfusion, dying within 90 minutes of arrival or being randomized in error) didn’t seem to affect this result either.

Administration 125

Administration Blood Transfusions Outcomes Hospitals 125

RebelEM

JUNE 19, 2023

Read More Core EM: CRASH-2: Tranexamic Acid in Major Trauma References: CRASH-2 Trial Collaborators. 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.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

RebelEM

MAY 25, 2023

The Role of Whole Blood Transfusions in Civilian Trauma: A Review of Literature in Military and Civilian Trauma. 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. Cureus 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

The Skeptics' Guide to EM

DECEMBER 17, 2022

Massive Blood Transfusion Following Older Adult Trauma: the Effect of Blood Ratios on Mortality. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine. Date: December 16th, 2022 Reference: Hohle et al.

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

EMergucate

AUGUST 23, 2017

An 80 year old women with severe anaemia secondary to GI bleed Severe anaemia requiring urgent blood transfusion, correction of … Continue reading →

Blood Transfusions 40

Blood Transfusions Resuscitation EMS 40

Ziqitza HealthCare Ltd

JULY 23, 2023

It provides sufficient oxygen, blood transfusions and other medication that helps the patient to be in a stabilized condition till reaching the hospital. Conclusion Ventilator ambulance service is also known as EMS transport ventilator. Trained staff – skilled staff who knows how to use life-saving tools on board.

Ambulance Services 52

Ambulance Services Basic Life Support Blood Transfusions Patient Safety 52

Taming the SRU

AUGUST 4, 2024

Can present in a delayed fashion, does not always occur immediately after pacemaker placement Delayed presentations present with signs and symptoms of cardiac tamponade in two-thirds of cases Abdominal Aortic Aneurysm Repair is usually indicated when aortic diameter is >5.5

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

RebelEM

OCTOBER 19, 2022

Hayes 2013 ) Disposition: Admission to monitored setting if ongoing intravenous repletion (bradycardia and hypertension may occur) Consider giving prophylactic calcium supplementation in patients receiving massive transfusions. Retrieved from [link] Read More LITFL: Hypocalcemia LITFL: Hypocalcaemia Post Peer Reviewed By: Salim R.

EKG/ECG 52

EKG/ECG Blood Transfusions Burns EMS 52

RebelEM

SEPTEMBER 26, 2022

Thromboelastography-guided transfusion decreases intraoperative blood transfusion during orthotopic liver transplantation: a randomized clinical trial. Rezaie, MD (Twitter: @srrezaie ) The post TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding appeared first on REBEL EM - Emergency Medicine Blog.

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

Taming the SRU

MAY 30, 2023

billion passengers annually 1 medical emergency per 604 flights Most common complaints: Syncope/presyncope: 37.4% Respiratory symptoms: 12.1% Nausea and vomiting: 9.5% Diversion occurs 7.3% of in-flight emergencies Deaths occurred 0.3% Smith Quick Facts regarding In-Flight Emergencies: 2.75 Respiratory symptoms: 12.1% Nausea and vomiting: 9.5%

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Northwestern EM Blog

JANUARY 24, 2022

And for most forms, EM physicians are not typically shocked by shock. Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) They have a toolbox of strategies, mainly fluids and vasopressors, to stabilize these critically ill patients.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EB Medicine

OCTOBER 1, 2018

Jeff : I’m an EMS fellow, what can I say… Anyway, on to my favorite section -- prehospital care. This is always a hot topic because the prehospital period is a special opportunity to get early interventions in for septic patients as 40 - 70% of all severe sepsis hospitalizations arrive via EMS. What does that mean?

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EB Medicine

MARCH 1, 2019

Jeff: And don’t forget to get the crash details from the EMS crew before they depart! As a side note, for anyone taking oral boards in a few months, don’t forget to ask the EMS crew for the details!!! There are no specific guidelines for transfusion in the setting of blunt cardiac injury, so stick to your standard trauma protocols.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EMergucate

AUGUST 25, 2020

On a busy night shift, the medical emergency alarm went off in the EAU area. A 33-year-old lady who was receiving the first unit of PRBC for her anemia complicated by the menorrhagia, feeling very …

Blood Transfusions 40

Blood Transfusions EMS 40

RebelEM

FEBRUARY 1, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke appeared first on REBEL EM - Emergency Medicine Blog. mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% Unadjusted risk difference 2.1% [ 95% CI -2.6 mg/kg followed by 0.81 vs Alteplase 34.8%

Stroke 132

Stroke Blood Transfusions Outcomes EMS 132

EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Blood Transfus. Curr Neurol Neurosci Reports. 2018;18(10):71.  2018;18(10):71.

Seizures 98

Seizures Stroke Outcomes EMS 98

EMDocs

JUNE 3, 2023

Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited.

Fractures 60

Fractures Resuscitation Operations EMS 60

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. Sundd P, Gladwin MT, Novelli EM. F temporal, RR 25, SpO2 89% on room air.

Pediatrics 94

Pediatrics Dehydration EMS Hospitals 94

RebelEM

FEBRUARY 22, 2024

in liberal) received a blood transfusion (2.3 Liberal versus restrictive transfusion thresholds for patients with symptomatic coronary artery disease. Third universal definition of myocardial infarction. Circulation. 2012;126(16):2020-2035. years Female sex 44.3 Baseline hemoglobin 8.6 g/dl Prior myocardial infarction 33.7

Blood Transfusions 58

Blood Transfusions Outcomes Wellness Research 58

Pediatric EM Morsels

MARCH 7, 2025

While transfusing blood can be beneficial to those who have lost it or continue to lose it quickly, blood may not always be immediately available. Or maybe the family does not desire blood transfusions. 2022.01.069 The post TXA (Tranexamic Acid) in Pediatrics appeared first on Pediatric EM Morsels.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Pediatric EM Morsels

DECEMBER 6, 2024

Aplastic Crisis: In individuals with underlying hematologic disorders, an aplastic crisis may require blood transfusion to replace lost red blood cells. In some cases, intrauterine blood transfusions may be necessary for the fetus. The post Parvovirus InfectionIn Children appeared first on Pediatric EM Morsels.

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

RebelEM

DECEMBER 23, 2024

appeared first on REBEL EM - Emergency Medicine Blog. PMID: 27941068 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter/X: @EMSwami ) The post Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringers the Superior Choice?

Fluid Resuscitation 124

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 124

Broome Docs

DECEMBER 22, 2024

Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial. PARAMEDIC 3 randomized 6,000 (but they were supposed to get to 15,000) patients with out of hospital arrest from multiple EMS agencies in the UK to either an IO or IV to start. 2024 Oct 9. doi: 10.1001/jama.2024.20424.

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

EMDocs

JANUARY 6, 2025

A whole blood transfusion is initiated for the management of her anemia. She receives IV antimalarials for severe malaria (as defined by AKI, anemia, electrolyte imbalance, and a history of convulsions). Hypoglycemia is managed with IV dextrose.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72