Articles in "trauma"

2017 Consensus Guidelines on the Approach to Syncope in Adults and Children

by Joseph Esherick, M.D., FAAFP, FHM

2017 consensus syncope guidelines from American College of Cardiology (ACC), American Heart Association (AHA), and Heart Rhythm Society (HRS), in collaboration with the American College of Emergency Physicians (ACEP), Society for Academic Emergency Medicine, and endorsed by the Pediatric and Congenital Electrophysiology Society

Guidelines for Imaging and Transfusion in Trauma

by Joseph Esherick, M.D., FAAFP, FHM

New NICE guideline recommend early, whole-body computed tomography for adults with major trauma; for trauma with suspected hemorrhage, use blood and tranexamic acid (TXA) instead of crystalloid for treatment.

Transfuse Plasma, Platelets and Red Blood Cells in a 1:1:1 Ratio in Severely Injured Trauma Patients

by Joseph Esherick, M.D., FAAFP, FHM

The PROPPR trial showed that a 1:1:1 ratio is superior to a 1:1:2 ratio for severely injured trauma patients with less exsanguination, improved hemostasis and a trend towards improved mortality.

Transexamic Acid Reduces Transfusions and Mortality in Major Bleeding

by Joseph Esherick, M.D., FAAFP, FHM

Now there are two studies that have proven benefit for transexamic acid (TXA) in major trauma. The UK-based CRASH-2 trial showed that TXA saves lives after trauma. A new meta-analysis that analyzed over 10,000 patients also shows that TXA reduces transfusion requirements by 1/3 and showed a trend towards reduced mortality (risk ratio = 0.67, (0.43 to 1.09; P=0.11).