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Hosts: Joe Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: Anticoagulation , Critical Care , Resuscitation Show Notes Coagulation Cascade: Algorithm for Anticoagulated Bleeding Patient in the ED: Indications for Anticoagulation Reversal: References: Baugh CW, Levine M, Cornutt D, et al. Ann Emerg Med.
link] ) Laboratory Evaluation: Clinical presentation and laboratory findings can help suggest TTP in the emergencydepartment. Joly, 2017; Sawler, 2020) Fresh frozen plasma (FFP) (contains ADMTS-13) may be used to supplement ADAMTS-13 if there is a delay in initiating TPE in the emergencydepartment (i.e.
2017.09.1085 Gómez-Outes A, Alcubilla P, Calvo-Rojas G, et al. doi:10.1186/s13054-019-2492-8 Baugh CW, Levine M, Cornutt D, et al. Anticoagulant Reversal Strategies in the EmergencyDepartment Setting: Recommendations of a Multidisciplinary Expert Panel. Ann Emerg Med. J Emerg Med. J Am Coll Cardiol.
patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the EmergencyDepartment) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al. PMID 25629740 Hassen GW et al.
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. Case: A […] The post SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients first appeared on The Skeptics Guide to Emergency Medicine.
FFP and platelets also contain citrate. Giancarelli et al found that 97% of patients who underwent massive transfusion protocols during trauma resuscitation were hypocalcemic (iCa < 1.1 Kyle et al demonstrated that transfusing a single unit of pRBCs can lead to significant decreases in Ca. Byerly S, Inaba K, Biswas S, et al.
a) A balanced ratio of 1:1:1 (platelets: FFP: packed red cells) The PROPPR trial showed us that balanced ratios are important. b) A balanced ratio of 1: 1:2 (platelets: FFP: packed red cells) The PROPPR trial showed us that balanced ratios are important. b) Emergency thoracotomy Let’s be clear: YOU will not be doing any of this.
Fresh frozen plasma, or FFP, should only be given to cirrhotic patients as part of the massive transfusion protocol in cases of profound hypotension, as “patients with cirrhosis rarely have true enzymatic hypocoagulability, and FFP may worsen bleeding due to over-resuscitation and dilution of coagulation factors.” Am J Emerg Med.
2 TTP often presents abruptly, and most patients that develop it first visit the emergencydepartment (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. References Sukumar S, Lämmle B, et al.
Karageorgos S, Ren D, Ranaweera M, et al. doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergencydepartment 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.
Warfarin: vitamin K 10 mg IV and PCC or FFP. Fibrinogen level < 150 mg/dL: cryoprecipitate or fibrinogen concentrate (not FFP). Am J Emerg Med. The emergencydepartment evaluation and management of massive hemoptysis. Am J Emerg Med. Ittrich H, Bockhorn M, Klose H, et al. microg/kg IV.
57 Adapted from: Long B, MacDonald A, Liang SY, et al. Malaria: A focused review for the emergency medicine clinician. The American Journal of Emergency Medicine. link] Rother B, Pierre G, Lombardo D, et al. Burden of injury during the complex political emergency in northern Uganda. Emerg Infect Dis.
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