Massive hemorrhage: A DEEP dive into the transfusion evidence скачать в хорошем качестве

Massive hemorrhage: A DEEP dive into the transfusion evidence

A very deep dive in the the evidence behind massive hemorrhage protocols. What blood products should you be giving, and in what ratio? When should you trigger a 'code transfusion'? What is the role of TXA? Fibrinogen? PCC? Whole blood? What is the evidence for viscoelastic testing? What is the evidence for supportive care? This is a deeper dive that you have ever wanted, but exactly what you need if you want to master the management of these critically ill patients. First10EM is a free open access medical education (FOAMed) platform created and run by Dr. Justin Morgenstern dedicated to high quality education focused on resuscitation and evidence based medicine. Want more? Check out the main post on First10EM: https://first10em.com/massive-hemorrh... Website: https://first10em.com/ Resuscitation: http://resus.first10em.com/ Evidence based medicine: https://ebm.first10em.com/ Twitter: @First10EM   / first10em   Facebook:   / first10em   Instagram:   / first10em   Bluesky: @first10em.bsky.social https://bsky.app/profile/first10em.bs... TikTok:   / first10em   Reddit:   / first10em   Timestamps: 00:00 Intro 03:12 Beginning of talk 06:03 Current clinical approach 10:00 Triggering the protocol 13:50 Balanced transfusion 19:03 FFP 24:21 Prothombin complex concentrates 27:35 Platelets 29:50 Whole blood 33:28 Balanced transfusion summary 35:49 Viscoelastic testing 40:57 TXA 47:28 Fibrinogen 49:30 Calcium and temperature (supportive care) 51:51 Summary 1 - The clinical summary 53:45 Summary 2 - The EBM summary Hashtags: #resuscitation #emergencymedicine #trauma #bleeding #hemorrhage #transfusion First10EM is devoted to free, open access medical education, aimed at medical professionals. The website does not provide specific medical advice. I may be a physician, but I am not your physician. If you are a medical professional, the information should be used like any other you encounter: think critically, consider other sources of information, and ensure that you understand how the information presented here fits with your own skills, work environment, and resources. Full disclaimer: https://first10em.com/disclaimer/ I have never accepted money from any drug or device company. I have no financial conflicts of interest in any information I present. Thank you for watching! 🙂