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Trauma Resuscitation Updates

RebelEM

vs 3U) but no difference in mortality (Study not powered for this outcome) Clinical Take Home Point: The use of vasopressors is controversial and requires a nuanced approach SUMMARY OF MINIMIZING IATROGENIC INJURY RESTORE PERFUSION VOLUME REPLACEMENT Blood Products >>> Crystalloids Holcomb JB et al. NEJM 1994. [2]

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NFTI And STAT: Can They Replace The Cribari Grid?

The Trauma Pro

And its correlation with outcomes varies. The most important one is that it relies only on the Injury Severity Score (ISS) to judge whether some type of mistriage occurred. The ISS is usually calculated after discharge, so it can only be applied after the fact. What is NFTI, Exactly?

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ToxCard: Iron

EMDocs

7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. Blood transfusion for clinically significant blood loss. Radiology in the management of acute iron poisoning. 1 Management: Supportive care first and foremost.

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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. In adults, TXA has been shown to reduce transfusion requirements and improve outcomes. What is the role of tranexamic acid?

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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

Introduction SAH has the potential for rapid progression and devastating outcomes. 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. Blood Transfus. 2020 Sep 29;95(13):e1819-e1829.

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

EMDocs

This is a unique scenario where interventional radiology, orthopedic surgery, and trauma surgery all have potential roles, and it is most important for emergency physicians to know their own institutional policies on unstable pelvic trauma. Management and outcomes of open pelvic fractures: An update. Radiopaedia.org. Pelvic fractures.

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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,