52 in 52 – #17: REBOA for Proximal Aortic Control in Patients with Severe Hemorrhage and Arrest
52 in 52 looks at using REBOA for proximal aortic control in patients with severe hemorrhage and arrest.
REBOA
R.E.B.E.L. EM – First do no Harm: Rethinking Our Approach to Intubation in Trauma
From its inception in the 1970s, there has been continued evolution in how we approach RSI (and airway management in general) in the physiologically threatened patient – this post will focus on the trauma patient.
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EM@3AM: Pelvic Ring Fracture
A 23-year-old male is brought in by EMS from the scene of a severe accident. He is hypotensive and tachycardic, with a mangled right lower extremity and right upper extremity. EMS applied a tourniquet to both the right upper and lower extremity. Your initial primary survey reveals properly placed tourniquets. With inward pressure on the iliac wings, you detect pelvic instability. What’s the diagnosis, and what’s your next step in your evaluation and treatment?
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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.
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