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EMCrit 353 - Massive Hemorrhage Protocol, the Trauma Anesthesiologist's Perspective with Roman Dudaryk

EMCrit Podcast

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Optimizing Trauma Resuscitation Strategies

This chapter explores the use of tranexamic acid and calcium in trauma patients with hemorrhagic shock, highlighting the evolution of TXA acceptance and the importance of calcium administration following military guidelines. It discusses indicators like mean arterial pressure and pulse pressure variations for providing more product in trauma settings, emphasizing the need for swift action based on parameters like end-tidal CO2. The chapter also covers the use of pulse pressure variation, shock index assessment, arterial monitoring benefits, sedation choices for intubated patients, and varying approaches to vasopressor use in trauma resuscitation.

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