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Penetrating chest trauma

Don't Forget the Bubbles

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.

E-9-1-1 139
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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.” Acad Emerg Med.

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A guide to major haemorrhage management in paediatrics

Don't Forget the Bubbles

doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. Surprisingly, there are different definitions of paediatric major haemorrhage, with no single agreed-upon definition. Published Online First: 24 June 2024. What is major haemorrhage?

FFP 72
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emDOCs Podcast – Episode 116: Massive Hemoptysis

EMDocs

Episode 116: Massive Hemoptysis Definition: Hemoptysis is expectoration of blood from the respiratory tract; ranges from mild with small streaks of blood to cardiopulmonary compromise (1-5). Massive hemoptysis: no clear definition, ranges from 50 mL in a single expectoration to 100 mL in 24 hours to over 1 L in 48 hours. microg/kg IV.

E-9-1-1 84
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ED care of refugee populations from sub-Saharan Africa

EMDocs

Cholera Case Definitions and Diagnosis.; HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Undernourished children presenting to an urban emergency department of a tertiary hospital in Tanzania: a prospective descriptive study. Severe malaria management. BMC Pediatr.

ED 75