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EM@3AM: Amniotic Fluid Embolism

EMDocs

A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. 2015 May;28(7):793-8. Epub 2014 Jun 30.

EMS 96
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Penetrating chest trauma

Don't Forget the Bubbles

Grabbing a pristine white table napkin to apply pressure to the wound, Ranulf’s class teacher and expedition leader called the ambulance as chaos descended on the restaurant. a) A balanced ratio of 1:1:1 (platelets: FFP: packed red cells) The PROPPR trial showed us that balanced ratios are important. The trauma call goes out.

E-9-1-1 139