We've talked about the rationale of massive transfusion a bunch on the EMCrit show:EMCrit Podcast 13: Trauma Resus II: Massive Transfusion Podcast 71: Critical Questions on Massive Transfusion Protocols with Kenji Inaba Podcast 144: The PROPPR trial with John Holcomb Podcast 081 - An Interview on Severe Trauma with Karim Brohi Hemorrhagic Shock Resus with Rick … [Read more...]
EM Nerd-A Case of Central Tendencies
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 … [Read more...]
EMNerd-The Case of the Anatomic Injury Part II
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 post will focus on the … [Read more...]
The Case of the Anatomic Injury
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 colloquially as the trauma pan-scan, … [Read more...]
Podcat 081 – An Interview on Severe Trauma with Karim Brohi
Yearning for some trauma aren't you? Today I got a chance to interview Karim Brohi (@karimbrohi). He is a trauma and vascular surgeon in London and runs the incredible Trauma.org site. Dr. Brohi has consistently been on the cutting edge of hypotensive resuscitation, hemostatic resuscitation, and massive transfusion. Dr. Brohi's Lecture on Hypotensive Resuscitation Dr. Brohi … [Read more...]
Hi, my name is Scott Weingart.