Remove Blood Transfusions Remove Fractures Remove Radiology
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Trauma Resuscitation Updates

RebelEM

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.

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

EMDocs

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.

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Pelvic Management

RCEM Learning

Introduction Immediate management Control of haemorrhage Use of pelvic binder REBOA Management of stable VS unstable fracture Management of closed VS open fracture Other injuries Immediate management Coordinated and structured approach (eg. Learning bite Nearly 90% of pelvic fracture bleeding is venous in origin.

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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

3 Common associated injuries may include skull fractures, intracerebral contusion, cervical spine injuries, and vascular injuries of the head and neck. 10 Additionally, discussion with radiology and neurology is advisable prior to obtaining an MRI, as data is not available to guide the specific timing of the test following symptom onset.

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Grand Rounds Recap 5.3.23

Taming the SRU

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,