Monthly Archives: July 2015

EM ONE – July Update – Shhhh… the baby’s sleeping!

To Clot or NOT to Clot? July 2015 Articles Reviewed Age Adjusted D-dimer in PE evaluation ** Tranexamic Acid in Trauma CRASH II – initial protocol** Timing is important!** Head Injury In a trauma system Military Data (less applicable, but supportive … Continue reading

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1. Age Adjusted D-Dimer in PE Rule Out

 Practice Change: An age adjusted d-dimer cut off for PE evaluation is a safe and effective way to evaluate patients over 50 years old for PEs.  I think we should talk to the lab about changing how we report our … Continue reading

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2A, 2B: Tranexamic Acid and CRASH-II

Practice Change: If Tranexamic Acid is not on your short list of life saving medications in trauma, it should be!  It is inexpensive and has a mortality benefit in hemorrhaging trauma with a NNT of 67 to save a life.   … Continue reading

Posted in *PRACTICE CHANGING, Trauma | Tagged , ,

2C. TXA in Head Injury?

What About Use In Head Injuries? Take Home: Our system’s trauma protocol suggests stopping TXA once there is a head injury discovered, BUT given this data, I wouldn’t be too worried that we had caused harm in the patient by … Continue reading

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2D. TXA in Mature Trauma System

Take Home: TXA works in an established trauma system. – Annals of Surgery 2015 Study: Prospective Observational Cohort done in England of patients while their trauma system initiated use of TXA therapy in their Massive Transfusion Protocols Patients: Trauma patients … Continue reading

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2E. Military TXA Studies – TXA looks good in multiple settings.

Military Studies  Take Home: TXA seems effective in multiple settings and multiple studies. There are several other studies evaluating TXA in a military setting. TXA does seem effective in these studies as well, but because the protocols are different and they … Continue reading

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