2022, Emergency Department and Plasma

Thrombotic Thrombocytopenic Purpura (TTP)

Core EM

JANUARY 25, 2024

source: “Thrombotic Thrombocytopenic Purpura (TTP)”, 2022 , National Heart, Lung, and Blood Institute. link] ) Laboratory Evaluation: Clinical presentation and laboratory findings can help suggest TTP in the emergency department. if the patient is being transferred to another hospital).

Plasma

Plasma Frozen Plasma Emergency Department FFP

Emergency Department Evaluation of Cholestatic Labs

EMDocs

MARCH 4, 2024

Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

Emergency Department

Emergency Department E-9-1-1 ALS OR

SGEM#369: Romeo is Bleeding – Does He Need a RePHILL?

The Skeptics' Guide to EM

JUNE 18, 2022

Date: June 18th, 2022 Reference: Crombie et al. The Lancet Haematology 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anaesthesia and critical care. first appeared on The Skeptics Guide to Emergency Medicine. Date: June 18th, 2022 Reference: Crombie et al.

Plasma

Plasma Critical Care Paramedic ALS

Congenital Syphilis

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. 2022 Dec 27;14(12):e33009.

E-9-1-1

E-9-1-1 Plasma Emergency Department OR

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. AEM December 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: December 16th, 2022 Reference: Hohle et al. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals.

Frozen Plasma

Frozen Plasma FFP Emergency Medical Services Plasma

SAEM Clinical Images Series: A Case of Painful Skin Lesions

ALiEM

OCTOBER 20, 2023

A 50-year-old Caucasian female with a history of hypertension, coronary artery disease, and insulin-dependent diabetes mellitus presents to the emergency department with a complaint of painful sores on the top of her left foot. Updated 2022 Dec 1]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.

Plasma

Plasma Coronary Emergency Department OR

Recognition and Treatment of Thrombotic Thrombocytopenic Purpura

ACEP Now

APRIL 5, 2024

2 TTP often presents abruptly, and most patients that develop it first visit the emergency department (ED) as their symptoms worsen. It is thus imperative that emergency physicians be able to recognize and properly treat this disease, especially in the absence of its classical presentation. 1 Dr. J Emerg Med.

Frozen Plasma

Frozen Plasma Plasma Emergency Department FFP

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. 2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. Accessed August 2022. McGraw Hill, 2019.

E-9-1-1

E-9-1-1 ALS Emergency Department 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. Interim results presented earlier this year show that REBOA performed within the Emergency Department increased mortality.

E-9-1-1

E-9-1-1 FFP Plasma Emergency Department

Managing raised intracranial pressure in severe traumatic brain injury – the basics

Don't Forget the Bubbles

AUGUST 12, 2024

What neuroprotective measures can we undertake in the emergency department? Neuroprotective measures are undertaken in the emergency department and PICU to optimise intracerebral conditions, minimise secondary brain injury, and create optimal tissue healing conditions. Published 2022 Nov 20. Published 2022 Mar 1.

ALS

ALS Emergency Department Plasma OR

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

JUNE 3, 2023

Institutional protocols should be utilized, keeping in mind that either whole blood or a 1:1:1 ratio of packed red blood cells, platelets, and fresh frozen plasma are optimal. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e. Published November 8, 2022. Scand J Trauma Resusc Emerg Med. 2016;24:73.

ED

ED Operating Room ALS Frozen Plasma

A guide to major haemorrhage management in paediatrics

Don't Forget the Bubbles

OCTOBER 28, 2024

doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. Major haemorrhage protocols typically include a mixture of packed red blood cells (pRBCs), platelets, and fresh frozen plasma (FFP). Am J Emerg Med. Published 2022 May 4. 2021;49:404-405.

Frozen Plasma

Frozen Plasma FFP Plasma ALS

Spicy Bites - Snake Envenomation

FOAMfrat

SEPTEMBER 19, 2024

Along with inducing coagulopathy, venom toxins may contribute to local and/or systemic hemorrhage and plasma extravasation by means of basement membrane degradation within the vasculature. Rattlesnake Envenomation Treatment & Management: Prehospital Care, Emergency Department Care, Consultations.” Accessed 10 July 2024.

Emergency Department

Emergency Department Epinephrine OR Plasma

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. The first was the suggestion to use balanced crystalloid fluids, such as lactated ringers or plasma-lyte, instead of normal saline. Intensive Care Med. 2021;47:1181–1247. 2021;57(9):920.

E-9-1-1

E-9-1-1 ALS Emergency Department Plasma

Cholera: ED presentation, evaluation, and management

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. Published online November 14, 2022. Published online June 1, 2022. Rehydration Therapy.

ED

ED OR ALS Plasma

Paramedicine Now

Thrombotic Thrombocytopenic Purpura (TTP)

Emergency Department Evaluation of Cholestatic Labs

Trending Sources

SGEM#369: Romeo is Bleeding – Does He Need a RePHILL?

Congenital Syphilis

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

SAEM Clinical Images Series: A Case of Painful Skin Lesions

Recognition and Treatment of Thrombotic Thrombocytopenic Purpura

ToxCard: Diethylene Glycol

Penetrating chest trauma

Managing raised intracranial pressure in severe traumatic brain injury – the basics

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

A guide to major haemorrhage management in paediatrics

Spicy Bites - Snake Envenomation

Sepsis Updates Relevant to the Emergency Physician

Cholera: ED presentation, evaluation, and management

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