Tag Archives: trauma

Trauma, “Answers”

1. When do you use tranexamic acid in trauma? Tranexamic acid (TXA) is a synthetic derivative of the amino acid lysine. It was discovered in the 1950s and has traditionally been employed in surgery to minimize blood loss. TXA works … Continue reading

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Trauma, Questions

1.  When do you use tranexamic acid in trauma? 2.  When you can’t get peripheral access in a trauma patient, do you prefer subclavian, femoral, or IO? 3.  Which trauma patients do you give PCC to over FFP? 4.  In … Continue reading

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Imaging in Blunt Trauma, “Answers”

1.     How do you decide which patients with abdominal trauma need a CT? Setting aside those patients with obvious abdominal injuries, for whom most every Emergency Physician would order an abdominal CT (or send directly to the OR with trauma … Continue reading

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Imaging in Blunt Trauma, Questions

1. How do you decide which patients with abdominal trauma need a CT? 2. Do you order chest CTs on stable patients with focal chest wall tenderness and a normal AP chest X-ray? 3. Do you pan scan in stable … Continue reading

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Mammal Bites: “Answers”

1.  Which mammal bites get antibiotics?  Cat versus human versus dog?  Location of the bite? From a Cochrane review of the topic, which looked at all known randomized controlled trials (RCTs) on the subject: “The use of prophylactic antibiotics was … Continue reading

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Mammal Bites: Questions

1. Which mammal bites get antibiotics?  Cat versus human versus dog? Location of the bite? 2. Which mammal bites do you close primarily and which do you leave open?  What’s your time window?  Does it vary by mammal or location? … Continue reading

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