Wed.Oct 18, 2023

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Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury

The Bottom Line

In patients with trauma and critical bleeding who require activation of a major haemorrhage protocol, does the empiric administration of 3 pools of cryoprecipitate (6g fibrinogen) within 90 minutes of randomisation (and no more than 3 hours after injury) improve survival, compared to standard care?

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Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

Written by Jesse McLaren Four patients presented with chest pain. All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer interpretation, and below are the ECGs with the final cardiology interpretation. If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation?

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TIRBO #46: Being curious

Critical Care Scenarios

The value of being curious about practice differences, not judgmental. The value of being curious about practice differences, not judgmental.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

The patient is a 20 something female. She is healthy with no known cardiac disease. She was admitted to the neurology department due to headache and vomiting. She was found to have a viral CNS infection. A few days into her hospital stay she developed chest discomfort and the following ECG was recorded. What do you think? Why such large T-waves? Are these hyperacute T-waves?

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25 Books Every EMT Should Read

Unitek EMT

The importance of reading books in the pursuit of excellence as an EMT. Reading plays a pivotal role in the professional development of Emergency Medical Technicians (EMTs) due to its significant impact on their knowledge, skills, and empathetic understanding of patients. EMTs are entrusted with providing immediate medical care in critical situations, necessitating a comprehensive […] The post 25 Books Every EMT Should Read appeared first on Unitek EMT.

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Mortality in Thoracic Trauma

Emergency Medicine Education

Helsloot et al. found in a retrospective analysis that the first several hours of resuscitation in patients with thoracic injuries are absolutely critical. The majority of fatalities occur within the first hour, and a significant portion of deaths occur within the initial six hours following the injury.

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Cefepime vs Piperacillin-Tazobactam

Emergency Medicine Education

in a recent article that published in JAMA, Qiam et al. found among 2,511 patients who received antibiotic treatment, it was determined that treatment with piperacillin-tazobactam did not lead to a higher occurrence of acute kidney injury or mortality. Conversely, treatment with cefepime was associated with an increased risk of neurological dysfunction.

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