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

EMDocs

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.

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Pelvic Management

RCEM Learning

Operative management is required with either External Fixation or Open Reduction with Internal Fixation (ORIF). Learning bite All unstable pelvic fractures require operative management. Case courtesy of Dr Paul Clarke Learning bite Avoid unnecessary movement of the patient. Usually managed conservatively.

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A guide to major haemorrhage management in paediatrics

Don't Forget the Bubbles

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 is the role of tranexamic acid?

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Grand Rounds Recap 4.26.23

Taming the SRU

hours earlier and went to OR 3.5

OB/GYN 52