2014, ALS and Plasma - Paramedicine Now

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

The Skeptics' Guide to EM

DECEMBER 17, 2022

Date: December 16th, 2022 Reference: Hohle et al. Date: December 16th, 2022 Reference: Hohle et al. 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)? years ( 2 ).

Frozen Plasma

Frozen Plasma FFP Emergency Medical Services Plasma

Penetrating chest trauma

Don't Forget the Bubbles

JUNE 30, 2023

This was a randomised controlled multisite study comparing resuscitation of trauma patients requiring massive transfusion using either 1:1::1 or 1:1:2 ratios of platelets to plasma to red blood cells. A recent review was conducted on Trauma Quality Improvement Program data between 2014 and 2016. 2014 Sep;45(9):1287-95.

E-9-1-1

E-9-1-1 FFP Plasma Emergency Department

Snake Bites and Children

Pediatric EM Morsels

MARCH 17, 2023

Available from: [link] Correa JA, Fallon SC, Cruz AT, et al. Sarkar S, Sinha R, Chaudhury AR, et al. In the US, the venomous snakes include rattlesnakes , copperheads, cottonmouths/water moccasins , and coral snakes [ CDC, 2021 ] Rattlesnakes live all across the United State s Copperheads inhabit the eastern U.S. Snake Toxicity.

Frozen Plasma

Frozen Plasma Plasma First Aid OR

ToxCard: Diethylene Glycol

EMDocs

SEPTEMBER 7, 2023

DEG is rapidly absorbed when ingested and can reach peak plasma and brain tissue concentrations within four hours of ingestion. Metabolism of DEG adapted from Bessenhofer, et al. References: Abubukar et al. Nelson, et al. Conklin, Laura, et al. 6, 1 June 2014, pp. Schier, Capt. McGraw Hill, 2019. JAMA , vol.

E-9-1-1

E-9-1-1 ALS Plasma Emergency Department

Utility of D-dimer Testing in Special Populations

EMDocs

AUGUST 7, 2023

Acute Aortic Dissection (AAD) A meta-analysis found that plasma D-dimer level <500 ng/mL is useful for identifying patients who are unlikely to have an AAD and do not require further aortic imaging. doi:10.4103/1947-2714.143278 van der Pol LM, Tromeur C, Bistervels IM, et al. x Douma RA, le Gal G, Söhne M, et al.

E-9-1-1

E-9-1-1 ALS Plasma OR

Resident Journal Review: Massive Transfusion Protocols (MTPs) in Traumatic Hemorrhage

AAEM RSA

APRIL 1, 2021

2,3 Here we examine some of the evidence behind the various components of MTPs, specifically calcium and factor VIIa, and the ratios in which the main products of red blood cells, plasma, and platelets should be administered. Holcomb JB, Tilley BC, Baraniuk S, et al. Cornelius B, Ferrell E, Kilgore P, et al. 2020;88(5):383-9.

E-9-1-1

E-9-1-1 Plasma ACS ALS

Postpartum Hemorrhage: The Chapter We Skipped.

FOAMfrat

AUGUST 15, 2024

Moreover, LTOWB also allows us to administer platelets and plasma, in addition to red cells, to promote clotting and homeostasis. If you don't have access to LTOWB and are administering component therapies such as PRBCs or plasma, this is still incredible and I highly encourage it! Minino AM, Heron MP, Murphy SL, et al.

Plasma

Plasma Ambulance ALS Emergency Department

Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

ACEP Now

FEBRUARY 11, 2024

One side effect of this medication is that it can reduce the absorption of antiepileptic medications such as valproate, vigabatrin, and lamotrigine and reduce their plasma concentration, thus putting patients taking these medications at higher risk of seizure. Sodhi M, Rezaeianzadeh R, Kezouh A, et al. Bansal AB, Al Khalili Y.

Overdose

Overdose ACS Plasma ALS

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

The first was the suggestion to use balanced crystalloid fluids, such as lactated ringers or plasma-lyte, instead of normal saline. References Evans L, Rhodes A, Alhazzani W, et al. Piccioni A, Saviano A, Cicchinelli S, et al. Fleischmann C, Scherag A, Adhikari NK, et al. Rhee C, Dantes R, Epstein L, et al.

E-9-1-1

E-9-1-1 ALS Emergency Department Plasma

ToxCard: Acute Organophosphate Toxicity

EMDocs

JUNE 7, 2023

8 Plasma butyrylcholinesterase (“pseudocholinesterase”) activity Easier to assay and is more widely available Red cell acetylcholinesterase (“true cholinesterase”) activity More accurate and specific Management: Patients require immediate intervention if there is concern for acute organophosphate poisoning. BMC Res Notes. 2013; 6:524.

E-9-1-1

E-9-1-1 ICU Emergency Department ED

ToxCard: Chronic Organophosphate Toxicity

EMDocs

JUNE 14, 2023

Boostani R, Mellat A, Afshari R, et al: Delayed polyneuropathy in farm sprayers due to chronic low dose pesticide exposure. Iran Red Crescent Med J 16: e5072, 2014. PMID: 23163581] Muñoz-Quezada MT, Lucero BA, Iglesias VP, et al. These are send-out labs with turn-around times that make them unlikely to affect the ED course.

E-9-1-1

E-9-1-1 Emergency Department Plasma ED

Sickle Cell Disease Module

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Macharia AW et al. 2014; 349–356. Sinkin JC, Wood BC, Sauerhammer TM, et al. Ware et al. Clinical Epidemiology of SCA in Africa.Am

E-9-1-1

E-9-1-1 ACS OR ICU

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

This graph shows the gaseous equivalent volume of oxygen stored in the lungs, bound to hemoglobin, and dissolved in the plasma for people breathing room air (far left) vs the same people pre-oxygenated by breathing 100% O2 (far right), and then after they have desatted to 90% while apneic (center). Figure 7: (modified from Tanoubi 2009).

E-9-1-1

E-9-1-1 EMS ALS OR

EM@3AM: Neurosyphilis

EMDocs

NOVEMBER 2, 2024

The development of an inflammatory process is largely due to the infiltration of lymphocytes and plasma cells which ultimately result in nerve damage (e.g., Rosh Review Website Link References: Tudor ME, Al Aboud AM, Leslie SW, Gossman W. doi:10.1056/NEJMra1906228 Ha T, Tadi P, Leslie SW, et al. In: StatPearls. N Engl J Med.

EMS

EMS E-9-1-1 Plasma ALS

ED care of refugee populations from sub-Saharan Africa

EMDocs

JANUARY 6, 2025

57 Adapted from: Long B, MacDonald A, Liang SY, et al. link] Rother B, Pierre G, Lombardo D, et al. link] Franco JR, Cecchi G, Priotto G, et al. Biggs H, Behravesh CB, Bradley KK et al. The CDC hotline is 1-855-856-4713 (toll-free) or 1-770-488-7100 (all hours), email address malaria@cdc.gov. 57 Table 2. 2024;77:7-16.

ED

ED E-9-1-1 ALS Emergency Department

Paramedicine Now

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

Penetrating chest trauma

Trending Sources

Snake Bites and Children

ToxCard: Diethylene Glycol

Utility of D-dimer Testing in Special Populations

Resident Journal Review: Massive Transfusion Protocols (MTPs) in Traumatic Hemorrhage

Postpartum Hemorrhage: The Chapter We Skipped.

Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

Sepsis Updates Relevant to the Emergency Physician

ToxCard: Acute Organophosphate Toxicity

ToxCard: Chronic Organophosphate Toxicity

Sickle Cell Disease Module

An EM Resident’s Guide to Basic Airway Management

EM@3AM: Neurosyphilis

ED care of refugee populations from sub-Saharan Africa

Stay Connected