Remove Head Injuries Remove Military Remove Shock
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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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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

A post-hoc analysis showed a lower 30-day mortality of those receiving TXA within an hour of their injury. When looking at the subgroups with severe shock, there was an 18.5% The primary outcome was head injury-related death in-hospital within 28 days of injury. MI or stroke).

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

RebelEM

Military practice guidelines recommend REBOA for profound shock (SBP <90mmHg) 1 and ACEP along with the American College of surgeons recommend REBOA for traumatic life-threatening hemorrhage below the diaphragm in patients with hemorrhagic shock who are unresponsive or transiently responsive to resuscitation.