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Podcast 185.0: Anticoagulation Reversal

Core EM

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. Iran J Pharm Res.

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Thrombotic Thrombocytopenic Purpura (TTP)

Core EM

link] ) Laboratory Evaluation: Clinical presentation and laboratory findings can help suggest TTP in the emergency department. 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 emergency department (i.e.

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

The Skeptics' Guide to EM

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. first appeared on The Skeptics Guide to Emergency Medicine. Should we give our shocked patient saline or plasma / red cells en route to the ED?”

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Tasty Morsels of Critical Care 030 | Guillain-Barre Syndrome Part 1

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. GBS is a clinically important diagnosis for both the emergency department and the ICU. Read More » Welcome back to the tasty morsels of critical care podcast.

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

Don't Forget the Bubbles

What neuroprotective measures can we undertake in the emergency department? Ideally, all patients with severe TBI should be managed in trauma centres with expertise in neurosurgical and intensive care management. Hypertonic saline contains a higher sodium concentration than normal plasma and interstitial fluid.

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Postpartum Hemorrhage: The Chapter We Skipped.

FOAMfrat

Moreover, LTOWB also allows us to administer platelets and plasma, in addition to red cells, to promote clotting and homeostasis. If you don't have access to LTOWB and are administering component therapies such as PRBCs or plasma, this is still incredible and I highly encourage it! Like I said, some blood is better than no blood!

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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

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.” Crit Care Med.