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Giving TXA Via An Intraosseous Line?

The Trauma Pro

Seriously injured patients frequently develop coagulopathy, which makes resuscitation (and survival) more challenging. The US military has adopted its routine use at forward combat hospitals. This can and does occur with military type injuries. But for our military colleagues, this could be a very valuable tool!

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Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. NEJM 1994. [2] NEJM 1994. [2]

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Traumatic brain injuries in civilian war victims in Afghanistan

Emergency Medicine Journal

Methods This is a retrospective observational study from the EMERGENCY NGO hospital for civilian war victims in Kabul, Afghanistan. The study aims to describe the epidemiology and clinical patterns of patients with war-related TBIs in a non-military context.

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Hypothermia and drowning

Don't Forget the Bubbles

Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Military medicine , 163 (10), 719-721. Military medicine , 163 (10), 719-721.

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Liquid Plasma vs FFP: Impact On Your Massive Transfusion Protocol

The Trauma Pro

Our hospital blood bank infrastructure isn’t prepared to handle this product yet, for the most part. I think we’ll have to look to our military colleagues to pull this one off! Will this translate into better survival when used in the MTP for trauma? One would think so, but you never really know until you try it.

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London HEMS pre-hospital REBOA video

ETM Course

Just over a year ago London HEMS performed the first pre-hospital regtrograde endovascular balloon occlusion of the aorta (REBOA). This is a potentially lifesaving treatment pioneered by the US military 1 for patients with exsanguinating pelvic and lower limb haemorrhage. Here’s some references. Martinelli et al. Brenner et al.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

Despite the broad acceptance of Red Cross certifications by national accrediting bodies, state agencies, and thousands of hospitals and clinics, some medical centers, nursing schools, and community colleges have policies that do not recognize both organizations’ certifications. All three leverage the latest educational methodologies.