This week we discuss some pearls from the 14th All NYC EM Conference.
Core EM - Emergency Medicine Podcast Episode 145.0 – All NYC EM 14 Pearls
May 14, 2018
Discover essential insights from the 14th All NYC EM Conference! Learn about damage control resuscitation techniques and the vital role of tranexamic acid (TXA) in improving emergency outcomes. Delve into the intricacies of managing massive transfusions, where clear communication and planning play crucial roles. Explore the importance of thorough documentation to enhance patient care and aid in accurate triage. Finally, gain deeper understanding of structured Medical Decision Making, emphasizing comprehensive evaluations in emergency situations.
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Effective IV Access in Trauma
- Assign the best team member to secure IV access quickly for hemorrhaging patients.\n- Avoid placing IVs over suspected injury sites like pelvic fractures to prevent complications.
Simple TXA Dosing Strategy
- Give 1 gram of tranexamic acid (TXA) within 3 hours to major trauma patients needing transfusion.\n- This initial dose matches the common cefazolin dose, simplifying administration.
Massive Transfusion Needs Two People
- Make massive transfusion a two-person job with a transfuser and a dedicated runner.\n- The runner should know the blood bank location to ensure rapid blood product delivery.