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Stabbing; Roadside to Resus

The Resus Room

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Acute Hemorrhage - Is There a Tachycardic Response?

A lack of a tachycardic response to acute blood loss can lull the provider into a massive false sense of security. In 1998, there's a retrospective cohort study 750 patients with a systolic blood pressure of equal or less than 90 millimeters of mercury and 29% of those had a relative bradicardia. That's backed up by a study 2009, 7000 patients that were hypotensive after penetrating trauma and relative bradicards was observed in 44%. So this is definitely a thing. And I think I just want to bring it up because we do not need to be reassured by these patients. If you're looking at your patient and like Simon has described, they're pale

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