EMplify November 2020

An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department

Authors:

Christopher Pitotti, MD, FACEP

Jason David, MD

Topics:

The Lethal Triad

Prehospital Care

• Tourniquets - Placement and Pitfalls
• Stop The Bleed
• Hemostatic Dressings
• TXA
• Temperature Management

ED Assessment

• Shock Recognition
• Predictors of Massive Transfusion
• Imaging
• Ultrasound - eFAST
• CT
• Labs
• Viscoelastic Clot Testing
• Treatment
• REBOA- Resuscitative Endovascular Balloon Occlusion of the Aorta
• CPR
• Resuscitative Thoracotomy
• Airway - Intubation
• Breathing
• Circulation
• Massive Transfusion
• Crystalloid
• Blood Products

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