The Skeptics' Guide to EM

APRIL 6, 2019

In contrast, protamine could be used for heparin and LMWH reversal and vitamin K, fresh frozen plasma and prothrombinase complex concentrate could be used to reverse coumadin ( Hunt and Levi BMJ 2018 ). This changed in 2015 when the Food and Drug Administration (FDA) approved idarucizumab for the reversal of dabigatran.

Frozen Plasma 130

Frozen Plasma Plasma ALS EMS 130

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.”

Frozen Plasma 52

Frozen Plasma FFP ALS Plasma 52

Don't Forget the Bubbles

OCTOBER 28, 2024

Surprisingly, there are different definitions of paediatric major haemorrhage, with no single agreed-upon definition. Many of these definitions are not useful in acutely bleeding children as they require measuring the amount of blood that was lost or transfused over prolonged periods. What is major haemorrhage?

Frozen Plasma 72

Frozen Plasma FFP Plasma ALS 72

EMDocs

JUNE 3, 2023

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. For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link].

ED 66

ED Operating Room ALS Frozen Plasma 66

EMDocs

JANUARY 6, 2025

Cholera Case Definitions and Diagnosis.; Severe malaria management. 84 Adapted from: World Health Organization (WHO). WHO Guidelines for Malaria.; Accessed June 11, 2023. 2020;38:A73-A82. doi:10.1016/j.vaccine.2019.07.099 2019.07.099 Centers for Disease Control and Prevention (U.S.). Zinc Treatment. Published online November 14, 2022.

ED 75

ED E-9-1-1 ALS Emergency Department 75