RebelEM

MAY 25, 2023

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.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Emergency Medicine Cases

AUGUST 24, 2021

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.

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

Pediatric EM Morsels

JUNE 9, 2023

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.

Pediatrics 154

Pediatrics Head Injuries Airway Management Administration 154

Taming the SRU

DECEMBER 8, 2023

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.

Hyperthermia / Hypothermia 88

Hyperthermia / Hypothermia Head Injuries Resuscitation Documentation/Coding 88

RebelEM

AUGUST 7, 2023

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.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

Don't Forget the Bubbles

JUNE 30, 2023

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),

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Emergency Medicine Cases

JANUARY 1, 2019

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?

Head Injuries 52

Head Injuries Resuscitation Shock EMS 52