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REBEL Core Cast 108.0 – Angioedema

REBEL EM

Stable patients with isolated anterior tongue edema should undergo fiberoptic laryngoscopy in the ED ( McCormick 2011 ) Avoid unnecessary airway manipulation (can exacerbate edema) Edema may obscure the neck anatomy Airway Management Early intubation often indicated as swelling may progress and supraglottic rescue devices may be ineffective Consider (..)

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TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

REBEL EM

A meta-analysis of fifteen RCTs comparing blood product transfusion rates of cardiothoracic and surgery patients found significantly lower transfusion rates of FFP in TEG/ROTEM guided group compared to traditional tests, with no difference in survival rates (Fahrendorff 2017). Significant coagulopathy: INR > 1.8 were performed.

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emDOCs Podcast – Episode 116: Massive Hemoptysis

EMDocs

Warfarin: vitamin K 10 mg IV and PCC or FFP. Fibrinogen level < 150 mg/dL: cryoprecipitate or fibrinogen concentrate (not FFP). Bronchoscopy can be used for bleeding control with cold saline, epinephrine, activated factor VIIa, or TXA. Key: morbidity and mortality are due to asphyxiation, not blood loss primarily.

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