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The St.Emlyn’s Podcast

Ep 230 - Top Twenty Papers of 2023 - Part 2 - Haemorrhage and Cardiac

Apr 23, 2024
Exploring top papers on haemorrhage and cardiac topics in trauma patients. Discussions on balloon occlusion of the aorta, early cryoprecipitate use, prehospital tranexamic acid, and artesunate treatment. Emphasis on evidence-based interventions and advancements in cardiac emergency care.
22:22

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Quick takeaways

  • Implementing REBOA catheters in the ED may not reduce mortality for trauma patients with hemorrhage, highlighting the need for alternative strategies.
  • Cryoprecipitate improved coagulopathy but did not significantly lower mortality in trauma patients, emphasizing individualized treatment approaches based on fibrinogen levels.

Deep dives

Emergency Department Recessive Vascular Balloon Occlusion in Trauma Patients

The UK-RIBBELWARE randomized clinical trial investigated the use of riboah catheters in trauma patients with exsanguinating hemorrhage. The trial did not show a mortality reduction and highlighted delays in emergency department implementation. The findings suggest that placing riboah catheters in the emergency department may not be effective, emphasizing the need for alternative approaches.

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