Welcome to the new Tamingthesru
Same great content - new look - improved search
The Utility of BNP in the Dyspneic Patient
Dr. Nicholas Jensen uses a dynamic video walk-through to discuss the history and data of the evolving view of the diagnostic utility of BNP in the presentation of the acutely dyspneic patient. Learn why BNP has gone from a standard diagnostic test to another test we that deserves a second thought of its utility.
Grand Rounds Recap 5.30.18
This week’s Grand Rounds started with Dr. Gorder’s expertly delivered Morbidity and Mortality lecture. Dr. Gottula then went over drugs of abuse, including the gabapentinoids. Dr. Shaw then talked about a case of sympathetic acute crashing pulmonary edema (SCAPE). Finally, Dr. Edmunds spoke about pediatric renal emergencies.
Whole Blood - More than the Sum of Its Components?
Q: For a patient in hemorrhagic shock from acute blood loss, what is the best resuscitative fluid?
A: If they've lost blood, give them blood.
It's never quite that simple though right? For a generation now, we have practiced primarily by transfusing patient's with acute blood loss varying ratios of blood product components. Thanks to the PROPPR trial, we most recently arrived on a generally accepted ratio of 1:1:1 for Plasma, Platelets, and Red Blood Cells for severely injured bleeding trauma patients. Recent military literature however, suggests that there may be another strategy (which is in and of itself a bit of a throwback) that could offer additional benefits over a component transfusion strategy. If were are trying to recreate a whole blood with a 1:1:1 plasma:platetel:PRBC ratio, why not just give whole blood?