The Trauma Pro

MAY 2, 2023

We are not always as fastidious as we should be because of the universal availability of blood products. Splint to reduce fracture bleeding. Use direct pressure or direct suture ligation for external bleeding. Aggressively use damage control surgery. Don’t go for a definitive laparotomy which may take hours.

Blood Transfusions 100

Blood Transfusions Fractures Wellness Resuscitation 100

Pediatric EM Morsels

MAY 24, 2024

Cohort of 12,000 children with blunt IAI were prospectively enrolled to determine the number of subjects requiring acute intervention . Incorrect interpretation of the recommendations would lead to a very high number of CT scans.

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

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

RebelEM

MAY 25, 2023

ABC Score: Penetrating Mechanism SBP ≤90mmHg HR ≥120 BPM Positive FAST Abdominal Views If ≥2 present, consider MTP RABT Score Revised Assessment of Bleeding and Transfusion Score Penetrating Injury Positive FAST Shock Index >1.0 PMID: 35271808 Kronstedt S et al. Cureus 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Dr. Smith's ECG Blog

JULY 3, 2020

She had multiple rib fractures as well as serious hemorrhage and underwent massive transfusion. She sustained chest wall trauma, including rib fractures with serious bleeding. The patient was in shock on arrival in the ED — and multiple blood transfusions were needed. WHAT is the rhythm in this tracing?

Blood Transfusions 52

Blood Transfusions EKG/ECG Shock Fractures 52

EB Medicine

MARCH 1, 2019

In terms of radiography, a chest x-ray should be obtained as rib fractures, hemopneumothorax, and mediastinal free air are all things you wouldn't want to miss and are also associated with blunt cardiac injury. 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

EMDocs

JUNE 3, 2023

How should pelvic fractures be identified in unstable trauma patients? Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring. Due to the round shape of the pelvic ring, multiple fractures typically occur concurrently. 2 Vertical shear fractures are also unstable.

Fractures 60

Fractures Resuscitation Operations EMS 60