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Crush; Roadside to Resus

The Resus Room

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Hyper-Colemic - Is There a Value in Having a Specialist Team?

The hyper-colemia might be picked up on your ECG and you might see those classic peak T waves loss of P waves bundle branch blocks. Point of care testing if that's carried by the hems teams may have a value but don't forget that's only going to be valuable after the patient's been released. We'd look for some cardiac protection by giving calcium chloride or calcium gluconate and you could consider some bicarbonate as well so there are definitely a couple of options.

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