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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?

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

Figure 1: The Young-Burgess classification of pelvic ring fractures (source: [link] 3 It is paramount to differentiate the definitions of “hemodynamically unstable” and “mechanically unstable” pelvic fractures. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚

ED 67
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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