Massive Transfusion Triggers: Back to the ABCs (score)

Massive Transfusion Triggers: Back to the ABCs (score)

Massive Transfusion (MT) is a life-saving trigger in trauma centers, but heavy is the burden of activating significant resources without knowing the blood products will go to good use. The ABC is the ACS recommendation, is easy and requires no additional testing, however newer weighted scores like PWH and TASH have showed promise in external validations. This week, Dr. Laurence takes a deep dive into the literature behind these triggers, their validation as well as some take aways for your use of life-saving Massive Transfusion.

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Grand Rounds Recap 3.29.2017

Grand Rounds Recap 3.29.2017

Dr. Grosso kicked off Grand Rounds this week with March M&M by diving deep into some core content, including BB and CCA overdoses, influenza, massive transfusion, post-intubation hypotension, and neurological catastrophes causing cardiac arrest. Dr. O'Brien broke down coagulopathy of liver disease and DIC for us while Dr. Golden taught us about febrile seizures. Drs. McKee and Colmer talked through the evidence behind their CPQE pathway on vent management in obstructive lung disease. Drs. Liebman and Powell went head to head in a CPC case about sternal osteomyelitis to round out another excellent week of learning. 

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Grand Rounds Recap 3.1.17

Grand Rounds Recap 3.1.17

This week Dr. Axelson took us through great DKA in pregnancy, hyponatremia tips, and prioritization in UGIB in this month's M&M. Critical Care bound Dr. Renne laid out some intra-arrest tips and Dr. Brown from Cincinnati Children's talked about Adult Congenital Heart Disease. Small groups covered everything from ACLS logistics to shoulder US to Minnesota tube insertion. 

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Grand Rounds Recap 8/10

Grand Rounds Recap 8/10

This week, Dr. Palmer updated us on operations within the department, and dropped some stroke knowledge with his case follow up of altered mental status in a sickle cell patient. Drs. Scupp and Merriam presented cases on pediatric headache and hypothermia, respectively. Dr. Fananapazir tackled etiologies of fever including UTI and Kawasaki in our combined EM/PEDS lecture. We were honored to receive guest speaker Dr. Catherine Marco from Wright State University, who is senior member of the executive committee of ABEM and lectured on ethical issues of resuscitation.

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