Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. 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.

Blood Transfusions 125

Blood Transfusions Stroke Dehydration Sepsis 125

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 76

Blood Transfusions Outcomes Research Hospitals 76

Don't Forget the Bubbles

NOVEMBER 27, 2023

Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. And lastly, it’s actually quite hard to see how well the cardiovascular system is working, and this is one of its measurable features. This works well for a while, but eventually, the heart beats too fast to fill adequately.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

Taming the SRU

SEPTEMBER 16, 2024

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. Transfusion reactions are a spectrum of adverse events that can occur with the transfusion of whole blood or any of its components. One of the major risk factors is receiving a blood transfusion in the past.

Blood Transfusions 89

Blood Transfusions Anaphylaxis Emergency Department Sepsis 89

EMDocs

JUNE 22, 2024

The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. “Markers of Inflammation and Infection in Sepsis and Disseminated Intravascular Coagulation.” A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. RR 28, SpO2 89% on 6L NC. link] j.ajog.2016.03.012

EMS 97

EMS Resuscitation Blood Transfusions Seizures 97

EMDocs

AUGUST 22, 2023

ETCO 2 correlates with blood pressure, lactate, and base excess in critically ill patients. Capnography has several novel uses in other disease states commonly seen in the ED such as trauma, DKA, sepsis and obstructive lung disease. In cardiac arrest, EtCO 2 is dependent on compressions AND the underlying cause.

Emergency Department 68

Emergency Department Blood Transfusions Resuscitation Sepsis 68

Don't Forget the Bubbles

NOVEMBER 18, 2024

For ease, the one that helps me remember: Blood pressure = CO x SVR Causes of neonatal hypotension Prematurity: The most prevalent factor due to the underdevelopment of heart muscle, neuroendocrine system, and autonomic nervous control. Sepsis: This can induce widespread vasodilation and capillary leak, exacerbating hypotension.

Sepsis 57

Sepsis Shock Hyperthermia / Hypothermia Administration 57