Prior to this study, the preoperative approach to hypotensive patients with trauma included prompt intravenous infusion of isotonic fluids – the rationale being to sustain tissue perfusion and vital organ function while diagnostic and therapeutic procedures were underway. This was based on animal studies in the 1950s that demonstrated isotonic-fluid resuscitation was an essential component of therapy for severe hypotension due to hemorrhage.
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Journal Review
Delayed Fluid Resuscitation for Hypotensive Patients with Penetrating Torso Injuries
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Le Fort Fractures
A brief article discussing this rare group of fractures and their concomitant traumatic injuries.
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Pay It Forward
“What’s your airway plan, Michelle?”
To be quite frank, I don’t think I actually listened to what my junior said in response. Without much thought, I promptly replied (in my big boy voice), “Awesome, I’m going to help you set up.”
Since July, I’ve been told that I’m a “senior resident.” I’ve also been told (by Uncle Ben),
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Journal Review
New Orleans Head CT Criteria
CT scans are frequently done after minor head injury to evaluate for intracranial hemorrhage. While CT scans are an excellent tool for diagnosing or ruling out this disorder, they are not without harms including radiation exposure, cost and department delays. Much of the time, CTs are negative, or find injuries for which no intervention is ever done and do not clinically affect the patient.
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Journal Review
Edoxaban in Cancer-Associated VTE
This post is cross-posted on REBEL EM
Venous thromboembolism (VTE) occurs frequently in patient with cancer. Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding. Standard therapy at this time for both symptomatic and asymptomatic VTE is with low-molecular-weight heparin (LMWH) based on results from the CLOT trial (Lee 2003).
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