Archive

Tag: Trauma

REBEL Core Cast 34.0 – Chest Tubes

Take Home Points Small to Moderate Size Pneumothorax – consider managing conservatively with observation (need to make sure consulting services on same page) Needle aspiration for spontaneous pneumothorax recommend by British Thoracic and European Respiratory Societies 1 in 5 patients ...

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Procedures and Skills

REBEL Core Cast 17.0 – Penetrating Neck Trauma

Take Home Points: Get definitive airway control when necessary Use modality you’re most comfortable with Hard signs –  pulsatile bleeding, bruit or thrill, expanding hematoma, airway compromise, massive hemoptysis (think airway injury), hematemesis (think esophageal injury), grossly injured trachea, neurologic ...

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Trauma

First do no Harm: Rethinking Our Approach to Intubation in Trauma

Airway management as the first priority has been the backbone of resuscitation for years. “Address A first, before moving to B and C,” is what we are taught and what we go on to teach successive generations of learners. For ...

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Trauma

REBEL Core Cast 10.0 – Blunt Cardiac Injury

Take Home Points on Blunt Cardiac Injury No single test can be used to exclude BCI. However a thorough physical exam combined with a 12-lead EKG, troponin measurement, and echocardiography can be used to characterize BCI and direct care Obtain ...

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Trauma

Tranexamic Acid (TXA) for Everything that Bleeds?

Background: TXA is a synthetic lysine derivative that binds with the lysine site on plasminogen and inhibits fibrinolysis.  TXA is not a new drug. Studies from the late 1960s and early 1970s have shown reduced bleeding and need for transfusions in ...

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Hematology and Oncology

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