Don't Forget the Bubbles

JANUARY 10, 2024

Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. However, there is a huge variation in transfusion practice globally.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

EMDocs

MAY 28, 2024

Blood transfusion Reduces the overall proportion of HbS. Issues with pulse oximetry Pulse oximetry frequently underestimates the alveolar hypoxia that results in sickling and pulmonary infarction and overestimates the arterial blood oxygen saturation. Improves oxygen carrying capacity. Reduces progression to severe disease.

Blood Transfusions 75

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 75

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. Pediatr Allergy Immunol Pulmonol. Pediatr Blood Cancer.

Pediatrics 75

Pediatrics Dehydration EMS Hospitals 75

Don't Forget the Bubbles

NOVEMBER 18, 2024

In these situations, it’s crucial to focus on treating the underlying respiratory issue—ensuring adequate oxygenation and ventilation and possibly using inhaled nitric oxide for pulmonary hypertension—rather than just addressing the low blood pressure. Effective management of MAS will often result in the stabilization of blood pressure.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

Don't Forget the Bubbles

OCTOBER 28, 2024

Studies involving children have shown mixed results regarding the data on transfusion ratios. recent systematic review on pediatric patients found no clear mortality benefit for using either a high/balanced or low/unbalanced transfusion ratio. In practice, achieving a balanced 1:1:1 transfusion ratio can be challenging.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

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