Remove EMS Remove Head Injuries Remove Resuscitation
article thumbnail

Trauma Resuscitation Updates

RebelEM

Ann Emerg Med 2017 [6] This was a retrospective database review of 7521 traumatic brain injury patients SBP target ≥90mmHg resulted in a mortality of 7.8% CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al.

article thumbnail

Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine

Emergency Medicine Cases

In this Part 1 of our 2-part EM Cases podcast series on Geriatric Trauma, Dr. Barbara Haas, Dr. Camilla Wong and Dr. Bourke Tillman answer questions such as: why are older patients under-triaged to trauma centers and how does that affect outcomes? Just as pediatric patients are not small adults, geriatric patients are not just old adults.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Acute Esophageal Variceal Bleeding in Children

Pediatric EM Morsels

Maybe injuries to the spleen or kidney come to mind. Perhaps thoughts of pelvic injuries or severe head injury dominate our considerations. Of course, we all have a healthy respect for post-tonsillectomy hemorrhage and we like to talk about Damage Control Resuscitation. Hepatology. 2007 Sep;46(3):922-38.

article thumbnail

Grand Rounds Recap 11.15.23

Taming the SRU

r4 case follow-up WITH DR. milligan CC: Found down The case: A young F was found down in a snow bank after a GSW to the head. EMS had reported she had coded en route. She presented with a core temp of 30C and her CT scan did not show a devastating head injury as was expected. She regained pulses with warming on arrival.

article thumbnail

REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

RebelEM

The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge. that would not be possible in an agitated/combative patient.

article thumbnail

Penetrating chest trauma

Don't Forget the Bubbles

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. In addition, a flimsy cannula is easily dislodged during ongoing resuscitation and easily clots off. Significantly more patients achieved haemostasis in the balanced ratio group ( 86% vs 78% p =.006),

article thumbnail

Ep 119 Trauma – The First and Last 15 Minutes Part 2

Emergency Medicine Cases

What should your resuscitation targets be in the first 15 minutes for trauma patients with hemorrhagic shock, neurogenic shock, severe head injury? What are the best ways to maintain team situational awareness during a trauma resuscitation? When is a pelvic binder indicated? Is a bedsheet good enough?