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Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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EM@3AM: Amniotic Fluid Embolism

EMDocs

We’ll keep it short, while you keep that EM brain sharp. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. Her vital signs show a blood pressure of 70/40 mm Hg, heart rate of 140 bpm, respiratory rate of 30/min, and oxygen saturation of 85% on room air.

EMS 111
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ToxCard: Iron

EMDocs

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Blood transfusion for clinically significant blood loss. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Basic assessment: airway, breathing, circulation. Antiemetics as needed.

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ALiEM AIR Series | Trauma 2023 Module

ALiEM

Highlighted Quality Posts: Trauma Site Article Author Date Label Rebel EM Trauma Resuscitation Update Salim Rezaie, MD May 25, 2023 AIR EM Docs Unstable Pelvic Trauma Patient Luke Wohlford, MD June 3, 2023 AIR EM Docs Maxillofacial Trauma Forrest Turner, MD October 17, 2022 AIR Rebel EM PATCH trauma trial Anand Swaminathan, MD June 19, 2023 HM Don’t (..)

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Rethinking the Role of TXA: Are We Asking Too Much?

RebelEM

We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures). This should continue to make TXA part of standard trauma resuscitation while additional studies are performed.

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TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

RebelEM

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.

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Lab case 158 – Interpretation

EMergucate

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