Who's attending ResusX with Haney Mallemat? Come join me for a rapid fire review of ED management of explosive trauma and military lessons learned!

#emergency #emergency medicine #trauma #blood #criticalcare #icu #erlife #icu life #science #army #army medicine #army emdoc

On the list of 'things that should be illegal in medicine but aren't,' starting any sentence with 'remember that patient you saw last week...' is definitely in the top 10.

Thanks to Dr. Glaucomflecken for hitting the nail on the head with this one.

#emergency #emergency medicine

A recent SR-MA found that remifentanil at 2-4ug/kg produced similar intubating conditions to standard paralytics.

They also found similar risk of:
-Bradycardia (RR 0.44, 0.01-13.90)
-Hypotension (RR 1.05, 0.44-2.49)

However, there was significant heterogeneity between the

Pentagon Vows to Press On with Counterterror Mission as Negotiations to Depart Niger Begin buff.ly/3JPWepv

CPG UPDATE

The Joint Trauma System has published updates to the Clinical Practice Guideline: Prevention of Venous Thromboembolism.

Link: jts.health.mil/assets/docs/cp…

Does whole blood and platelets save lives? Yes.

Does whole blood and platelets increase your risk of PE and DVT compared to the other products? Also, yes.

Andrew D. Fisher presents our analysis from TQIP data evaluating these associations at SWSC.

More details coming with

How wide spread is #ED #REBOA use? Is everyone doing it?

Hamza Hanif presents data from our analysis of TQIP data.

In 2022, only 195 of the ~800 participating facilities had documented use with the vast majority at level 1 centers, a limited number at level 2 centers, and

Hamza Hanif from UNM General Surgery presenting TQIP #REBOA at SWSC armyemdoc

Bronchoscopy is often performed for prognostication after smoke inhalation injuries. However, it remains unclear whether serial bronchoscopy adds to the prognostication accuracy.

Conversely, bronchoscopy is not a benign procedure. Previous studies report a pneumothorax risk as

Are platelets associated with AKI in kids with traumatic hemorrhage?

This secondary analysis from the prospective MATIC study found that for every 10% increase in the platelet to RBC ratio transfused increased the odds of AKI by 12.7%.

This study adds to the growing body of

So, I just found out, thanks to a medical student, that I've been spelling delirium wrong in every medical record I've ever written that diagnosis in my entire career.

Apparently, thinking of one of the greatest trance songs of all time - Silence - by DJ Delerium (@tiesto

What defines a massive transfusion?

It turns out there is no universal definition. This systematic review evaluated massive transfusion definition in RCTs, and here's some definitions:
>=10 units PRBC in 24h*
>=3 units PRBC in 1h
>=6 units PRBC in 24h
>=4 units PRBC in 6h
>=5

What's the current state of FDP prehospital RCT studies? This article summarizes it nicely.

RePHILL - Hypotense trauma patients, 2u RBC + 2u FDP versus saline prehospital, composite of mortality and/or lactate clearance (odd endpoint?), no difference in outcomes

PRE-HO PYLO -

Jen Gurney talking about Whole Blood at #TCCACS24 Mattox/Vegas TCCACS. We are doing better about using cold stored whole blood. We need to figure out a civilian walking blood bank.

In the same shift, you can resuscitate a critically ill patient who was found down without asking anyone for permission and also have a patient with a STEMI refuse a heart cath and leave AMA.

But what does this guy have to do with that?

Exactly 110 years ago today, the

Who's going SOMSA? Come join us... we've got several big presentations:
-PCCRG will talk about #DEVICE and what key critical care questions they can answer for the US military
-Adit Ginde will talk about what's next after the SAVEO2 trial
-Our South Africa collaborators will

The CU Center for COMBAT Research is honored to have a featured article in the latest edition of CU Medicine Today covering mentorship efforts & highlighting 3 of our incredible military research collaborators and trainees! armyemdoc Raizachu Ian Eisenhauer

Check out the full edition!👇