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The literature suggests that approximately 85 percent of these cases require procedural source control in the operatingroom, highlighting the importance of expediting transport arrangements. 6 Apply direct pressure to the bleeding site with gauze soaked in TXA and epinephrine as a first-line intervention. Wall JJ, Tay KY.
1-4 The PDPs, phenylephrine and epinephrine, result in vasoconstriction and increased cardiac contractility. They can be associated with side effects such as reflex bradycardia, decreased stroke volume in phenylephrine, tachycardia and hypertension associated with epinephrine. Paper: Singer S, et al. Am J Emerg Med. 2022 Sep 5.
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