EMDocs

DECEMBER 6, 2024

Blood transfusion for clinically significant blood loss. 5 Consider exchange transfusion in addition to deferoxamine for serum iron concentrations greater than 1000 g/dL, or those who clinically deteriorate despite supportive care and chelation. Radiology in the management of acute iron poisoning. doi: 10.1097/PEC.0b013e3182302604.

Poisoning 96

Poisoning Fluid Resuscitation Seizures Resuscitation 96

RebelEM

MAY 25, 2023

Lancet 2010 [10] >20,000 adult trauma patients with SBP <90mmHg Patients randomized to TXA 1g over 10 min + 1g IV over 8hrs vs Placebo given within 8hrs of injury In-hospital mortality by 28d reduced (14.5% NEJM 1994. [2]

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

The Trauma Pro

MAY 10, 2024

It also standardizes comparisons between hospitals that use STAT. Once again, let’s look at over- and undertriage experience in the paper: Undertriage: 9.1% undertriage (Cribari) reduced to 3.3% This may be helpful for future triage-related research. What Does It All Mean?

Blood Transfusions 113

Blood Transfusions Radiology Radiology Documentation/Coding 113

PHEM Cast

FEBRUARY 23, 2017

Priorities for the bleeding trauma patient must include: Minimum time to control of bleeding (tourniquets / haemostatics / knife / interventional radiology) Normothermia Appropriate choice of destination (knife / IR) ? Prehospital transfusion of plasma and red blood cells in trauma patients. Prehosp Emerg Care 19(1):1–9, 2015.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

EMDocs

MARCH 6, 2024

In other patients who are stable and the bleeding has resolved, CTA is of low yield If they are critically ill and have severe bleeding, resuscitate first and consult IR, radiology, and surgery. 2023 ACG guidelines recommend against transfusing platelets to reverse an antiplatelet agent. 2023 Nov 21;330(19):1892-1902. 2017;2(5):354–60.

Blood Transfusions 104

Blood Transfusions Outcomes Resuscitation Radiology 104

EMDocs

JULY 3, 2023

10,11 Magnetic resonance imaging (MRI) is not recommended as a primary imaging modality for the diagnosis of SAH due to test duration (which can delay life-saving interventions), as well as the fact that the mixing of blood with cerebrospinal fluid (CSF) may delay the transition of hemoglobin to its deoxyhemoglobin state that is best imaged on MRI.

Seizures 98

Seizures Stroke Outcomes EMS 98

EMDocs

JUNE 3, 2023

Her Glasgow Coma Scale (GCS) is 14 (3E-5V-6M), and she arrives in a cervical collar placed pre-hospital. 6 Especially for the 15% of unstable pelvic fracture patients who have arterial bleeding, angioembolization performed in the interventional radiology (IR) suite or operating room will provide critical source control. doi:10.1097/TA.0b013e3182ab0cde

Fractures 61

Fractures Resuscitation Operations EMS 61