EMplify by EB Medicine

EMplify by EB Medicine


Episode 51 - Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department

November 17, 2020

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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