The reversal of medical truth is not an uncommon occurrence in today’s world of gullible frequentist methodology. Upon examination of a decade’s worth of publications from the NEJM, Prasad et al found that of the trials examining an established medical practice, 40.2% contradicted the initial data responsible for these medical beliefs. This in part is […]
EMCrit Podcast 12 – Trauma Resus: Part I
Thought we’d talk about some trauma stuff, specifically the resuscitation of the critically ill hemorrhagic shock patient. There is much to discuss, so this will be a multi-episode affair. Today, we’ll concentrate on the Lethal Triad and BP Goals. Lethal Triad The picture says it all. Bleeding causes acidosis, hypothermia, and coagulopathy. Then the cycle […]