The Trauma Pro
MAY 17, 2024
Uncontrolled bleeding is the bane of trauma professionals everywhere. Early in a resuscitation, we focus on identifying potential sources. We’ve developed numerous techniques for plugging them up. And we have processes in place to replace the blood that’s been lost. Unfortunately, blood products are a perishable item. Packed red blood cells have a typical shelf-life of 42 days.
Sensible Medicine
MAY 17, 2024
MM is 94 years old. Her only active medical issues are hypertension and vitamin D deficiency. She takes only 20 mg of lisinopril and 1000 units of vitamin D3 each day. She has no cognitive decline and gardens every day if the Chicago weather allows. Her Friday afternoon appointment is the doctor’s last of the week. Sensible Medicine is a reader-supported publication.
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Science Based Medicine
MAY 17, 2024
The virus massively disrupted schools around the world, and those of us who did nothing more than acknowledge this obvious reality were absurdly blamed for it. The post Pro-Infection Doctors Didn’t Just Want Kids in School. They Wanted Them There Unvaccinated, Untested, and Unmasked. They Wanted Them Infected. first appeared on Science-Based Medicine.
EMCrit
MAY 17, 2024
Today we talk about the debate over whether to give vasopressors as part of a balanced resuscitation in early exsanguination. EMCrit Project by Scott Weingart, MD FCCM.
PulmCCM
MAY 17, 2024
Transfusion-associated lung injury (TRALI) is a form of non-cardiogenic pulmonary edema and acute hypoxemic respiratory failure (PaO2/FiO2 <300) that develops during or soon after transfusion with blood products. It thus can also be thought of as acute respiratory distress syndrome (ARDS) precipitated by transfusion. The diagnosis of TRALI is clinical: there is no laboratory or other testing for TRALI (beyond a chest radiograph).
Mind The Bleep
MAY 17, 2024
Background ADHD is a neurodevelopmental disorder that begins in childhood, and is formed of the following core features: 1. Inattention: difficulty finishing tasks difficulty focussing on one task forgetting or misplacing things not paying attention to details being easily distracted and constantly ‘daydreaming’ difficulty following multi-step instructions struggling to concentrate 2.
PulmCCM
MAY 17, 2024
The European Society of Anaesthesiology and Intensive Care Medicine stopped just short of endorsing dexmedetomidine infusions (sold as Precedex) intraoperatively for the prevention of postoperative delirium (POD), in its 2024 update to guidelines on postoperative delirium in adults. In multiple randomized trials (but not all), dexmedetomidine administered prophylactically during noncardiac surgery reduced the incidence of postoperative delirium, they report.
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