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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew? E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. In addition, consider if there are any signs of injury with ENT, neurological or respiratory symptoms.

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#FOAMed Review 44th Edition

EM Curious

Part 1 Part 2 DONT STOP COMPRESSING HANDS ON DEFIBRILLATION [BLOG]: Minimizing time off the chest during CPR? INTOXICATED PATIENTS HAVE MEDICAL PROBLEMS TOO JUST ANOTHER INTOXICATED HEAD INJURY [BLOG]: A great case highlighting the importance of monitoring your agitated and/or intoxicated patients that require chemical sedation.

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UK-REBOA on Trial: Innovative or Over-Inflated?

RebelEM

The median Injury Severity Score was 41 The median age was 41 23% required prehospital CPR All were tachycardic and hypotensive prehospital REBOA+SC group had lower median SBP compared with in the SCA group 84 mm Hg vs 99 mm Hg REBOA group had higher median Abbreviated Injury Scores for the head region.

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Grand Rounds Recap 5.1.24

Taming the SRU

Factors associated with worse outcomes in the setting of a TCA: Firearm involvement Self-inflicted injury PEA with a rate <40bpm Wide-complex rhythm (excluding VT) Number of pre-hospital procedures Role of chest compressions in TCA: Chest compressions are unlikely to be helpful in the setting of a traumatic cardiac arrest.

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Grand Rounds Recap 5.3.23

Taming the SRU

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5