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SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients

The Skeptics' Guide to EM

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. The transfusion tech calls to remind you that your protocol is currently under review, and asks if would you like the 1:1 or the 1:3 version of fresh-frozen plasma (FFP) to packed red blood cells (pRBC)?

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REBEL Core Cast 108.0 – Angioedema

REBEL EM

Without the C1 inhibitor, the plasma-kallikrein-kinin system produces more bradykinin. Both conditions can range in severity from benign to life threatening (Wilkerson 2012). Fresh frozen plasma for progressive and refractory angiotensin-converting enzyme inhibitor-induced angioedema. 2012; 14(11). N Engl J Med.