Emergency Medicine Ireland

FEBRUARY 11, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. Up front there are some problems with the terminology * Plasmapheresis = process of removing plasma from the blood. Unlike CRRT we tend to defer to another specialty to do this.

Critical Care 40

Critical Care Plasma ICU OR 40

Core EM

JANUARY 25, 2024

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. Decreases production of anti-ADAMTS13 antibodies by removing the B cells that mature into autoantibody-secreting plasma cells. Thrombosis Research.

Plasma 246

Plasma Frozen Plasma Emergency Department FFP 246

The Skeptics' Guide to EM

JUNE 18, 2022

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. The paramedic asks you, “we have saline, and we also have red-cells and this fancy new lyophilised plasma. What do you advise him?

Plasma 100

Plasma Critical Care Paramedic ALS 100

Emergency Medicine Ireland

MARCH 11, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. GBS management can be nicely split into disease specific management and ICU supportive care. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care Plasma ICU OR 40

Emergency Medicine Ireland

DECEMBER 7, 2020

Welcome back to the tasty morsels of critical care podcast. Critical illness in pregnancy is remarkably rare given the somewhat bonkers system for reproduction that we seem to have evolved over the past million or years. Improved care of complex. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care CAD Plasma ACS 40

Emergency Medicine Ireland

OCTOBER 28, 2020

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. Treatment consists of: * PLEX – actual proper PLEX with plasma replacement as opposed to just washing out all the good stuff and giving albumin as replacement.

Critical Care 40

Critical Care Plasma FFP ICU 40

Emergency Medicine Ireland

JUNE 28, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. This week we’ll make a fly by at part of Oh Chapter 100 looking at haemostatic failure. The understanding of the haemostatic system seems a little like the universe at.

Critical Care 40

Critical Care Plasma OR 40

Emergency Medicine Ireland

MARCH 4, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Read More » Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation.

Critical Care 40

Critical Care ICU Plasma Emergency Department 40

Emergency Medicine Ireland

OCTOBER 17, 2022

Welcome back to the tasty morsels of critical care podcast. 1) vasogenic due to disruption of the blood brain barrier 2) cytotoxic due to plasma hypoosmolality, mostly thought to be related to failure of various ion pumps. Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care ICU Plasma OR 40

The Skeptics' Guide to EM

OCTOBER 3, 2021

Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. Reference: Zampieri et al.

OR 130

OR Critical Care ICU Plasma 130

Critical Care Scenarios

JANUARY 10, 2021

Best practices in care of the critically ill patient with COVID-19 pneumonia are not known at this time. Worsening tachypnea, distress, and ventilatory (not hypoxic) failure are a marker to upgrade care and/or intubate a borderline COVID patient.* Check a D-dimer to stratify hypercoagulability.*

Critical Care 100

Critical Care Plasma ICU OR 100

Pediatric EM Morsels

JULY 26, 2024

First line therapies for anti-NMBDA receptor encephalitis consists of… High dose steroids , IVIG, and PLEX – Therapeutic plasma exchange Only 50% of patient’s respond, and will require second line therapies such as Rituximab. IV acyclovir for HSV coverage while awaiting PCR results.

Plasma 269

Plasma OR ED Critical Care 269

Pediatric EM Morsels

MARCH 29, 2024

Your genetics and inpatient colleagues will thank you!

ED 294

ED Plasma OR EMS 294

The Curious Clinicians

JANUARY 16, 2024

In 1999, the TRICC ( Transfusion Requirements in Critical Care) trial was published in The New England Journal of Medicine. This study took 838 critically-ill patients and randomized them to either a liberal (target Hgb 10-12 g/dL) or conservative ( 7-9 d/gL) transfusion strategy.

Plasma 52

Plasma ACS Critical Care OR 52

Critical Care Scenarios

OCTOBER 31, 2021

Plasma free hemoglobin levels may be a useful marker that changing your oxygenator could improve gas exchange.* .* Hypoxemia can occur in VV ECMO patients due to too much flow through the native circulation and shunted lungs. In such cases, beta blockade may actually improve systemic oxygenation.*

Interfacility Transport 100

Interfacility Transport Plasma ICU EMS 100

Don't Forget the Bubbles

NOVEMBER 15, 2023

Have a look to see how their osmolarity and tonicity across the cell membrane compare to plasma. Renal (= urine output) : anti-diuretic hormone (ADH) release from the posterior pituitary is stimulated by microchanges in plasma osmolarity. What loss mechanisms do we need to consider?

Plasma 80

Plasma ALS ICU Critical Care 80

ACEP Now

FEBRUARY 6, 2024

Artifactual elevation of measured plasma L-lactate concentration in the presence of glycolate. Critical Care Medicine. 2023;43(10):20-21. Morgan, Thomas J. MBBS, FFICANZCA; Clark, Christopher FIBMS, MAIMS; Clague, Alan MBBS, BSc, FRCPA. 27(10):p 2177-2179, October 1999. Filip AB, Farnsworth CW, Mullins ME, Crews BO, Kraut JA.

ALS 52

ALS Plasma Critical Care OR 52

Don't Forget the Bubbles

AUGUST 12, 2024

Hypertonic saline contains a higher sodium concentration than normal plasma and interstitial fluid. About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. The osmolarity is also increased in the kidneys, which leads to diuresis.

ALS 75

ALS Emergency Department Plasma OR 75

FOAMfrat

AUGUST 15, 2024

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!

Plasma 69

Plasma Ambulance ALS Emergency Department 69

ACEP Now

NOVEMBER 16, 2023

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.” 6 Balloon tamponade (i.e.,

Frozen Plasma 52

Frozen Plasma FFP ALS Plasma 52