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practice updates

The Thromboelastogram (TEGĀ®): A Five-Minute Primer for the Emergency Physician

Thromboelastography is a mechanism of assessing coagulation based upon the viscoelastic properties of whole blood, and when compared to other coagulation assessments, this test allows for an assessment of near real-time, in-vivo clotting capacity. The point-of-care assay, which uses graphic interpretation of thromboelastography (the TEG), offers the opportunity for an expedited assessment of coagulopathies (thrombocytopenia, factor deficiency, heparin effect, hypofibrinogenemia, and hyperfibrinolysis). How can you use this modality in the ED? This post is full of pearls on interpreting TEG.

practice updates

Managing a Massive Hemothorax: A Guide to Stabilizing Your Patient

A hemothorax most commonly occurs secondary to penetrating or blunt chest wall trauma, with up to 70-80% of hemothoraces due to motor vehicle collisions. These injuries can cause rapid decompensation, but diagnosis and management isn't always easy. This post is filled with pearls and pitfalls in diagnosis and management of massive hemothorax.

practice updates

Pearls for the management of GSW associated traumatic injury

The patient with GSW can present in a variety of states ranging from hemodynamic stability to loss of pulses. Several literature updates have evaluated specific components of the care of these patients including airway, breathing, hemorrhage control, thoracotomy, and REBOA. This post evaluates the updated literature and provides pearls and pitfalls in the care of these potentially sick patients.