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The Eleventh Law Of Trauma

The Trauma Pro

There have always been two major factors at play: information overload and the biases built into our human brain operating system. Steroids are good in head injury. And then we run into our own operating system problems. The media were a bit different, but the underlying issues were the same. Stress causes ulcers.

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Preperitoneal Packing Vs Angioembolization: Part 1

The Trauma Pro

Unfortunately, it’s generally not feasible to operatively fix the pelvis acutely, and external fixation has limited impact on ongoing hemorrhage. A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. Blood usage also dropped quickly after the procedure.

Fractures 147
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How Fast Do Trauma Patients Die?

The Trauma Pro

This represents when after arrival, patients start dying due to their injuries. Penetrating injury plus hypotension kills the fastest at 19 minutes and head injuries the slowest at 1:20. It’s less than 20 minutes in victims of penetrating injury with early hypotension.

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Pelvic Fracture Intervention And Venous Thromboembolism Risk

The Trauma Pro

This is probably because there is no need to perform repeated operations to insert and remove the preperitoneal packs when angiography is used. All too often, prophylaxis is delayed due to solid organ or head injuries. But what about venous thromboembolism risk? Patients with pelvic fractures are already at high risk for it.

Fractures 113
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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. Traditional RSI entails preoxygenation followed by.

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EM@3AM: Pneumocephalus

EMDocs

4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% There is no evidence that steroids (D) are beneficial in head injury. Pneumocephalus after lumbar epidural catheter: a case report.

EMS 119
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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. These procedures require an experienced operator. These procedures require an experienced operator. These procedures require an experienced operator. Really, in a 14-year-old?