Tamingthesru
Thromboelastography aka The TEG
What is TEG?
Thromboelastography (TEG) measures the dynamics of clot development, stabilization/strength, and dissolution. Assuming the body’s ability to achieve hemostasis is a function of these clot properties, TEG provides specific, real-time indicators of a patient’s in vitro hemostatic state. This is in contrast to routine screening coagulation tests such as aPTT and PT/INR which are run with blood plasma alone and therefore do not take into account the cellular components of clotting.
Grand Rounds Summary 8/5
Taming the SRU Case Follow-Up: GSW to the Head with Dr. Grosso
- In one census: 66% of violent deaths are suicide, with 30k suicide deaths annually in the US
- ~50% of suicide attempts include firearms
- GSW to head mortality is 80%, and 71% die on scene
- ~40% of those who survive to hospital have favorable outcomes
- Favorable prognosis: GCS>8, normal pupillary reaction, absence of coagulopathy of trauma/hemodynamic instability
Grand Rounds Summary - July 29th, 2015
Morbidity and Mortality Pearls with Dr. Curry
Nephrolithiasis
Incidence in the US is 0.5-1% (lifetime risk 10-15%). There is a 2:1 male predominance and the recurrence rate is fairly high (37% at 1 year, 50% at 10 years and 75% at 20 years).
Patients at risk for poorer outcomes with ureterolithiasis are those with risk factors for diminished renal function, history of difficulty with stones/urologic intervention and symptoms of infection.