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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. I’m surprised that a military registry could only come up with 75 patients a year to analyze. These low numbers and the nature of this particular registry could inject significant bias as well.

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. The ECMO team are on their way… Three hours later, Elsa’s gases are better, her PEEP is down to 8, and she’s oxygenating well on 80% oxygen. Military medicine , 163 (10), 719-721 Kattih, Z.,

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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

The adoption of depression screening is, of course, well-intentioned. In a 2017 Lancet trial , 10,190 personnel from the UK military were randomized to post-deployment depression screening or no screening. The benefit of screening is just too small to be detected by well-designed trials. fold (NNH=14, p= 0.01 ).

Outcomes 137
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Massive Hemoptysis

EM SIM Cases

Since leaving the military, Dr. Koo works as an Emergency Physician and Assistant Professor of Emergency Medicine at MedStar Health and Georgetown University. This case comes from Major Alex Koo.

COPD 52
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Three Ways for Emergency Medicine Docs to Practice Mindfulness

ACEP Now

While there has been ample discussion of “the practice of mindfulness” in health care workers that improves mental well-being, when do we have this time? However, expressing genuine gratitude for yourself and others is powerful for your mental and physical well-being. However, they should not define our wellness. Cogn Ther Res.

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Meet the Emergency Physicians Running for Congress

ACEP Now

The reason I think orthopedists have done so well because they’ve been involved, they’ve been politically engaged, they’ve used their assets to preserve their assets. Another is to deliver the best patient care you possibly can, and those things don’t work very well together. You don’t get that from other places, maybe the military.

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Tourniquets are back

ETM Course

Based on reasonable quality data from recent military (and some civilian) studies, tourniquet use for the arrest of life-threatening haemorrhage from exsanguinating limb trauma is now being advocated. This post provides some general and specific information and practical tips on tourniquet use. When should I use a tourniquet?