The hands-on of orchestrating a massive transfusion protocol
The REACT-2 trial is an RCT comparing two different diagnostic strategies in a cohort of patients presenting to the Emergency Department with severe trauma (1). And while the authors found no difference in clinical outcomes between patients randomized to total-body vs selective imaging strategies, they did report a statistically significant difference in the total dose of […]
The total-body CT (typically referred to as the pan-scan) has quickly become a key component in the initial evaluation of trauma patients presenting to the Emergency Department. Despite this, the evidence supporting the benefits of the trauma pan-scan is lacking. Its rise to prominence due more so to riotous indignation than true evidentiary support. This […]
It is not uncommon for the standard of care to be dictated by those who speak the loudest rather than a representative sample of best medical practice. This is certainly the case with the inclusion of whole-body CT scans in the initial management of patients presenting to the Emergency Department with traumatic complaints. Known […]
Let’s talk trauma. I interview Karim Brohi on traumatic arrest, massive transfusion and hypotensive resuscitation.