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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 139
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SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

The Skeptics' Guide to EM

He will soon be transitioning out of the US military after […] The post SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture? He will soon be transitioning out of the US military after a 20-year career in the Air Force and is soon to be Clinical Professor of Orthopaedics at UC San Diego.

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Trauma Resuscitation Updates

RebelEM

vs 3U) but no difference in mortality (Study not powered for this outcome) Clinical Take Home Point: The use of vasopressors is controversial and requires a nuanced approach SUMMARY OF MINIMIZING IATROGENIC INJURY RESTORE PERFUSION VOLUME REPLACEMENT Blood Products >>> Crystalloids Holcomb JB et al. NEJM 1994. [2]

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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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emDOCs Podcast – Episode 102: Hypocalcemia in Trauma and the Diamond of Death

EMDocs

HypoCa is common in trauma patients and is associated with poor outcomes. We need RCTs to determine if Ca administration in trauma impacts mortality and other patient-centered outcomes. Ionised calcium levels in major trauma patients who received blood en route to a military medical treatment facility. Emerg Med J. Emerg Med J.