Remove Fractures Remove Head Injuries Remove Shock
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Preperitoneal Packing Vs Angioembolization: Part 1

The Trauma Pro

In this series, I will review the two major techniques for addressing troublesome bleeding from pelvic fractures. A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. As I continue to preach, going anywhere but the OR is dangerous for the patient.

Fractures 147
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Trauma Resuscitation Updates

RebelEM

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. 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% vs SBP target <90mmHg which resulted in a mortality of 33.4%

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Best of AAST #1: Aspirin Vs Low Molecular Weight Heparin For VTE Prophylaxis

The Trauma Pro

This work comes from the Shock Trauma Center in Baltimore and is a follow on to a paper published in the New England Journal of Medicine earlier this year. Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture. AAST 2023 Plenary Paper 3. N Engl J Med 2023; 388:203-213.

Fractures 147
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EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome

Emergency Medicine Cases

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

Shock 52
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CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

Belly needs to be evaluated for bleeding – there was initial concern re; LUQ pain – perhaps a splenic injury? Wrap the pelvis – use a proper binder if there is ANY concern re: a pelvic injury. Pull straight any fractures & splint them. Remember to apply splints to skin! Keep him warm and covered.

Burns 52
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Grand Rounds Recap 5.3.23

Taming the SRU

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,