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Jehovah’s Witnesses And Blood Transfusion Demystified

The Trauma Pro

Pack well, close and re-establish normal physiology before doing all the final repairs. Use direct pressure or direct suture ligation for external bleeding. Splint to reduce fracture bleeding. Aggressively use damage control surgery. Don’t go for a definitive laparotomy which may take hours. Always watch the temperature. Keep the OR hot.

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Blood transfusion targets in acute brain injury: Review (Updated)

PulmCCM

those with significant coronary artery disease), may benefit from higher transfusion thresholds. Brain-injured patients, including those with traumatic brain injury (TBI) and hemorrhagic strokes, were not well-represented in randomized trials studying transfusion thresholds in critical illness. Some patients, though (e.g.,

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The End Of Serial Hemoglobin/Hematocrit In Solid Organ Injury

The Trauma Pro

Possible interventions were none, operation, angioembolization, or blood transfusion. They examined how often serial hemoglobin determinations influenced management during the study period. That patient had a laparotomy based on the lab test. Bottom line: Although this study is small, the results are very clear.

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Best Of AAST #7: How Do You Like Your Platelets – Warm Or Cold?

The Trauma Pro

Until the last few years, massive transfusion in trauma consisted of component therapy, an admixture of packed red cells, plasma, and platelets. Whole blood transfusion is making inroads again, but it is used in a minority of centers. Reference: An analysis of the use of cold-stored platelets in combat trauma.

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What’s With Those John / Jane Doe Names?

The Trauma Pro

The use of Doe names in electronic health records is rapidly fading as well. This can result in catastrophic errors if test results are misinterpreted, or a blood transfusion with incorrect ABO typing is given to the wrong patient. The list of name pairs ending with Doe is just not unique enough.

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Imported Malaria

Pediatric EM Morsels

With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. Third times the charm! A single thick and thin smear is not enough to effectively rule out malaria.

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MTP Activation Criteria For Pediatric Patients

The Trauma Pro

All of the trauma professionals are busy with the patient and are rudely surprised when they ask for the first unit of blood. Objective MTP activation criteria have been developed and are well-supported by the literature. The ABC score and the shock index are two of the more common methods. This was termed the ABC-D score.