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A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

Don't Forget the Bubbles

What is Shock? Shock is defined as a type of circulatory failure where lack of oxygen leads to dysfunction of vital organs. There are many types of shock which may affect children, and management is specific to the type of shock. The overall goal in managing any cause of shock is to restore oxygen delivery to the organs.

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Are we on the right TRACT? 

Don't Forget the Bubbles

Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. However, there is a huge variation in transfusion practice globally.

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Trick of Trade: Dual Foley catheter to control massive epistaxis

ALiEM

If left untreated, it can lead to significant blood loss, shock, airway obstruction, and even death. Because he presumably had uremia-induced thrombasthenia (weak platelets), he received blood transfusions and IV TXA. Unfortunately, the bleeding still continued. And still — he continued bleeding heavily.

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Chan – Shock DC5 Lecture Series

University of Maryland CC Project

Chee Chan, a Pulmonary Critical Care physician and Medical Director of the Medical Intermediate Care Unit at MedStar Washington presents an interactive discussion on shock as part of the DC5 lecture series.

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Episode 16: “Blood”

PHEM Cast

Prehospital Blood Product Resuscitation for Trauma. Shorter times to packed red blood cell transfusion are associated with decreased risk of death in traumatically injured patients. Prehospital transfusion of plasma and red blood cells in trauma patients. Lots to think about! 2016 Jul;46(1):3–16.

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Trauma Resuscitation Updates

RebelEM

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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SGEM#210: (Don’t) Let it Bleed – TXA for Epistaxis in Patients on Anti-Platelet Drugs

The Skeptics' Guide to EM

TXA has been widely used in elective surgical cases and has shown decreased need for blood transfusion and reduction in mortality. shock, a bleeding visible vessel, renal disease, or lack of consent. TXA is a synthetic derivative of lysine that inhibits fibrinolysis and thus stabilizing clots that are formed.