On this podcast,
I recap from last show, especially the concept of bare minimum normotension (called erroneously permissive hypotension by just about everyone else) and why we should keep the MAP higher if there is suspected elevations in intracranial pressure
I then talk about massive transfusion. This is probably the best strategy for a patient that will require greater than 8-10 units of PRBCs.
What may be the best review of the topic is by Spinella and Holcomb:
(Blood Reviews 2009;23:231-240)
I talk about
- 1:1:1 transfusion
- PCC, Factor VIIa, Cryo
- Calcium
- IV Access
coming up in the next few podcasts: Sedatives for Intubation, Trauma Airway Management, The Crashing A-fib patient
Podcast: Play in new window | Download (15.5MB) | Embed
Subscribe: Apple Podcasts | Android | RSS | More
Scott Weingart
An ED Intensivist from NY.
Latest posts by Scott Weingart (see all)
- EMCrit Podcast 208 – Felipe Teran on Why We are Doing CPR Wrong - September 18, 2017
- EMCrit 207 – A Case to Acid Test your Resus Logistics - September 5, 2017
- EMCrit Wee – Central Line MicroSkills – Dilation - August 29, 2017
Hi, my name is Scott Weingart.
Comment Here
3 Comments on "EMCrit Podcast 13 – Trauma Resus II: Massive Transfusion"
how about the place of tranxenamic acid in this algorithm,
regards,
Ken
We’re doing a whole podcast on TXA in the next few weeks, but in GB it costs a few quid, in my hospital $100 per gram ($200 per patient). Have no idea why we are getting reamed on this generic drug in the US.
truly excellent