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

The Trauma Pro

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

Fractures 147
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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. Ranulf went white with the shock. These procedures require an experienced operator. These procedures require an experienced operator. These procedures require an experienced operator.

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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.

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

Rural Doctors Net

Allocate someone to activate ambulance, other clinical personnel, notify local hospital and give retrieval services a head’s up. Check his pupils – any signs of head injury or subdural from flying debris? Our patient will need adequate pre-oxygenation with a bag-mask valve- be aware that not all bag-masks are the same!

Burns 52