Archive

Medical Category: Trauma

Andexanet Alfa Vs. Four-Factor PCC: Is Andexanet Alfa Worth The Hype?

Background: Oral factor Xa inhibitors (FXi) have been associated with major and fatal bleeding events, including intracranial hemorrhage (ICH). In randomized controlled trials, both rivaroxaban and apixaban are associated with ICH at rates that range from 0.1 to 4% (Agnelli ...

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Hematology and OncologyNeurologyTrauma

PECARN Blunt Abdominal Trauma: Is A Clinical Decision Instrument Better Than Clinician Gestalt?

Background: Unintentional injuries remain the leading cause of mortality in children. While traumatic brain injuries and thoracic traumas are the top two causes of mortality and morbidity, abdominal traumas are the third most common cause.  Additionally, children are at higher ...

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PediatricsTrauma

REBEL Core Cast 70.0 – Open Fractures

Take Home Points: Prioritize ABCs and systematic evaluation of the trauma patient with an open fracture as one third of these patients have multiple injuries Assess neurovascular status and immediately reduce and immobilize if compromised Give appropriate antibiotics as soon ...

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OrthopedicsTrauma

Is Age Just a Number When Cracking Chests?

Background: Have you considered age when determining whether a resuscitative thoracotomy (RT) is indicated? You’re not alone; over 1/3 of trauma surgeons surveyed consider age before performing a RT (Dennis 2016). Dr. E. Baue first described RT after cardiac trauma ...

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Trauma

REBEL Core Cast 58.0 – Wound Care IV – Future Directions

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Trauma

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