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EM@3AM: Topical Hemostatic Agents

A 34-year-old male presents to the ED about 30 minutes after he slipped on ice while shoveling snow at his house.  He currently has a superficial abrasion approximately 6 X 6 cm to his posterior scalp without any laceration present that could be closed with sutures. The abrasion is profusely bleeding. What is the next best strategy for managing this patient?

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    EM@3AM: Topical Hemostatic Agents

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    A 34-year-old male presents to the ED about 30 minutes after he slipped on ice while shoveling snow at his house. He currently has a superficial abrasion approximately 6 X 6 cm to his posterior scalp without any laceration present that could be closed with sutures. The abrasion is profusely
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    Trauma Resuscitation

    Primary: CABC vs MARCH (massive hemorrhage, airway, respiration, circulation, hypothermia/head injury)

    Deadly diamond of trauma: hypocalcemia, hypothermia, coagulopathy, acidosis

    If transfusing trauma patient, don’t forget the calcium

     

    If giving TXA, consider using 2g IV bolus; frees IV line, cognitively offloads, supported by TCCC guidelines

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