Remove ACS Remove OR Remove Plasma
article thumbnail

Penetrating chest trauma

Don't Forget the Bubbles

You ask your anaesthetist to get ready to sedate or intubate depending on their status – Significant risk to the department – you make sure security is aware And your patient arrives. Ranulf is quite a sweet, round-faced boy, accompanied by his traumatised-looking mother as he is wheeled to your trauma bay.

E-9-1-1 139
article thumbnail

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

AAEM RSA

1 The American College of Surgeons’ (ACS) Trauma Quality Improvement Program (TQIP) Massive Transfusion in Trauma Guidelines leave a good amount of flexibility for hospitals regarding transfusion protocols, focusing more on systems-level aspects of designing and implementing MTPs.2,3 Holcomb JB, Tilley BC, Baraniuk S, et al.

E-9-1-1 52
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Tasty Morsels of Critical Care 010 | Cardiac disease in pregnancy

Emergency Medicine Ireland

Well, most commonly we’re going to see ACS. Pregnancy itself with its bump in plasma volume, reduced Hb and increased cardiac output is like one long exercise stress test. Improved care of complex. Read More » Welcome back to the tasty morsels of critical care podcast. What can we expect to see in terms of cardiac disease?

article thumbnail

Episode 82 – When Normal Labs Aren’t Necessary

The Curious Clinicians

One well-known study bled volunteers to a hemoglobin of 5 g/dL, while keeping them isovolemic with albumin or plasma infusions. There is one value, however, which we not only leave alone until it is well below normal, but only replenish to barely half the normal value: Hemoglobin (Hgb). Let’s focus on that last point.

Plasma 52
article thumbnail

Profound ST depression in II, III, aVF

Dr. Smith's ECG Blog

I did not think it was due to ACS, but we ordered an ED ECG immediately: What do you think? But in this case the clinical scenario is not right for acute ACS with OMI, and there is very high voltage, and the patient is very young, (though beware of young patients , even 29 year olds!! There is profound "inferior" ST Depression.

article thumbnail

A comatose patient with a carbon monoxide level over 50%

Dr. Smith's ECG Blog

It was shown to me with worry for ischemic ST elevation, which is certainly possible from severe CO toxicity, or concomitant ACS. Intravascular Neutrophil Activation Due to Carbon Monoxide Poisoning What do you think of this ECG? It is common to see changes in frontal plane axis and/or in chest lead R wave progression on serial tracings.

ACS 52
article thumbnail

Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

ACEP Now

Given the fact that he has not had these headaches before and has diffuse symptoms including weakness, lab work and head imaging are obtained. There were no acute findings on head CT. His lab values demonstrate no anemia, leukocytosis, or electrolyte abnormalities except for an elevated creatinine.