Pediatric EM Morsels

NOVEMBER 3, 2023

Both have a range of detection limits, which can be greatly dependent on operator. You should consider ordering this in all febrile children with fever <30 days from travel to a malaria-endemic country (Forgie 2022) Thick smears are 10 x more sensitive for malaria then thin smears, but thin smears are used to identify species.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

EMDocs

DECEMBER 6, 2024

5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. Blood transfusion for clinically significant blood loss. 9 Typical dose: Polyethylene glycol (Go-Lytely ) 25 mL/kg/hr in small children and 1.5-2 2 L/hr in adults.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

PulmCCM

JANUARY 8, 2024

million gallons) of blood are wasted in this fashion, every year—enough to fill about 700 railroad tanker cars with blood, or about four times the total amount of blood transfused annually. Smaller-volume blood collection tubes are widely available at equivalent cost and are compatible with standard blood analyzers.

Blood Transfusions 96

Blood Transfusions Hospitals Outcomes Operations 96

PulmCCM

NOVEMBER 6, 2023

Uncertainty has persisted about the ideal blood transfusion strategy to resuscitate and support trauma victims as they are prepared to undergo surgical and other mechanical interventions to achieve hemostasis. The trial is impressive for having been conducted at all.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

RebelEM

JUNE 19, 2023

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). Many trauma specialists argue that short-term mortality is a more meaningful outcome and we see improved mortality at 24 hours and 28 days.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

Ziqitza HealthCare Ltd

JULY 23, 2023

Ventilators are used in operating rooms, emergency departments, critical care transport units, and air medical transports. It provides sufficient oxygen, blood transfusions and other medication that helps the patient to be in a stabilized condition till reaching the hospital.

Ambulance Services 52

Ambulance Services Basic Life Support Blood Transfusions Patient Safety 52

EB Medicine

MARCH 1, 2019

In one RCT, the FAST exam reduced the time from arrival in the ED to operative care by 64% in the setting of trauma. Nachi: This is all well and good, and certainly accurate, but let’s not forget that hemodynamically unstable trauma patients, like those with myocardial rupture, need to be in the operating room, not the CT scanner.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Don't Forget the Bubbles

OCTOBER 28, 2024

To address this, there is ongoing debate about whether we should consider using a whole blood transfusion approach. Rhaenyra continues to receive blood products in a 1:1:1 ratio. After Rhaenyra’s next unit of blood transfusion is complete, you get a venous blood gas. What are yo going to do now?

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

EMDocs

JUNE 3, 2023

4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. 13 Massive transfusion protocols (MTP) are hallmarks of trauma resuscitation, and they are critical to the unstable pelvic fracture patient.

Fractures 63

Fractures Resuscitation Operations EMS 63

Emergency Medicine Journal

MARCH 25, 2025

Background Hypofibrinogenaemia on ED arrival and in the prehospital setting has been associated with both increased mortality and increased blood transfusions. receiving prehospital blood transfusions. The area under the receiver operating characteristic curve for hypofibrinogenaemia was PoCINR: 0.63 (95% CI 0.53

Blood Transfusions 52

Blood Transfusions Administration Operations Hospitals 52

Pediatric EM Morsels

MARCH 7, 2025

While transfusing blood can be beneficial to those who have lost it or continue to lose it quickly, blood may not always be immediately available. Or maybe the family does not desire blood transfusions. Enter TXA or tranexamic acid , The Clot Stabilizer! of IV form TXA [O’Neill 2020] Inexpensive !

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Don't Forget the Bubbles

JANUARY 1, 2024

However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure. Hemoglobin Threshold for Blood Transfusion in Young Children Hospitalized with Iron Deficiency Anemia. They enrolled 459 children aged 3 to 12.9 Lo Vecchio A, et al.J

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

RCEM Learning

NOVEMBER 28, 2022

Operative management is required with either External Fixation or Open Reduction with Internal Fixation (ORIF). Learning bite All unstable pelvic fractures require operative management. Usually managed conservatively. Unstable pelvic fractures can be unstable vertically or rotationally.

Fractures 40

Fractures Blood Transfusions Sepsis Operations 40

Don't Forget the Bubbles

JULY 5, 2023

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Would you consider this patient for blood transfusion?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126