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Best Of AAST #7: How Do You Like Your Platelets – Warm Or Cold?

The Trauma Pro

Researchers from the US Army performed a retrospective registry study on a sample of military casualties over four years. The primary outcome was mortality, and secondary outcomes included the need for surgery, fluid and blood infusions, and the use of a massive transfusion protocol.

Military 113
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Hypothermia and drowning

Don't Forget the Bubbles

Military medicine , 163 (10), 719-721. Military medicine , 163 (10), 719-721. Military medicine , 163 (10), 719-721. Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. If only I had a time machine, you think to yourself… Oh, we do! Let’s hop in.

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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

A 2008 Cochrane review found adult depression screening does not improve outcomes. The last two trials convincingly demonstrate that when patients with postpartum depression have better access to mental health services, outcomes improve. Screening had no impact on depression, anxiety, or a host of other mental health outcomes.

Outcomes 140
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UK-REBOA Trial: Innovative or Over-Inflated?

Critical Care Now

Military practice guidelines, along with ACEP and 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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SGEM#365: Stop! It’s Not Always Hammer Time

The Skeptics' Guide to EM

BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas.

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SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

Its use declined in the 1990s and early 2000s, but during the past decade, it has gained the attention of trauma surgeons in military and civilian settings, potentially due to advances in the technology and smaller catheter sizes. Clinical Question: What are the outcomes of trauma patients after REBOA placement?

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SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures

The Skeptics' Guide to EM

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY.