Remove Frozen Plasma Remove ICU Remove OR
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REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

REBEL EM

Severe acute traumatic coagulopathy = PT >1.5 to 3.33; P = 0.72 NOT STATISTICALLY SIGNIFICANT Also no difference in individual components given Thromboembolic Events: 4F-PCC: 35% Placebo: 24% Absolute Diff: 11%; 95% CI 1 to 21% Relative Risk 1.48; 95% CI 1.04 to 2.10; P = 0.03 Severe acute traumatic coagulopathy = PT >1.5 to 3.33; P = 0.72

FFP 139
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Snake Bites and Children

Pediatric EM Morsels

Since we all inhabit the same beautiful world , and sometimes we humans overtake previous habitats of animals, we inevitably will cross paths with an animal that bites us. Usually, animals bite from fear or defense of their offspring ( ex, Brown Recluse ). Sometimes it’s a beloved pet who gets surprised or has an “off” day ( Dog Bites and PTSD ).

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ToxCard: Iron

EMDocs

Children without vomiting within 6 hours of iron ingestion will almost never have significant toxic effects. 6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. In severe toxicity, hematemesis, melena, or hematochezia may occur. Be wary of this stage. This stage does not always occur. 2 L/hr in adults.

E-9-1-1 94
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ED care of refugee populations from sub-Saharan Africa

EMDocs

History of Present Illness The collateral history indicates that her symptoms began one week into her journey, but medical care was inaccessible at the time. The family reports no history of food allergies, insect bites, or contact with sick individuals. The patient did not receive pre-travel prophylaxis for malaria, hepatitis A, or yellow fever.

ED 72