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emDOCs Podcast – Episode 102: Hypocalcemia in Trauma and the Diamond of Death

EMDocs

Calcium and resuscitation Severely injured trauma patients are commonly hypocalcemic. Giancarelli et al found that 97% of patients who underwent massive transfusion protocols during trauma resuscitation were hypocalcemic (iCa < 1.1 The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med.

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Episode 14: Thoracotomy

PHEM Cast

pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. Resuscitation; 2011: 1194-1197

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SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surgery March 2019.

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Three Ways for Emergency Medicine Docs to Practice Mindfulness

ACEP Now

You may be ruminating on the unsuccessful resuscitation of a cardiac arrest in a young mother, all the notes to be done, or the dread of possibly missing something on the patients you signed out or discharged. The senior nurse who was the key lead in a resuscitation when you were occupied with a crash femoral central line.

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UK-REBOA Trial: Innovative or Over-Inflated?

Critical Care Now

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. Reading Time: 3 minutes Jansen JO, Hudson J, Cochran C, et al. 2023;e2320850.

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

RebelEM

Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12].

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is not possible during acute resuscitation or at any time before a complete investigation, or even trial, to know who is innocent, guilty, or what occurred during the altercation. Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. Khoshdel, A. Modaghegh, M. Gustafson, C.