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practice updates

ED Management of the MVC Patient: Pearls and Pitfalls

It is no surprise that a substantial number of trauma patients presenting to emergency departments nationwide are victims of motor vehicle crashes (MVCs) . This patient cohort presents unique challenges to the emergency physician. Many of these challenges, however, can be mitigated by a well-practiced, systematic approach to the management of all trauma patients, such as that outlined in Advanced Trauma Life Support (ATLS).

practice updates

The Thromboelastogram (TEG®): 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.