Big day today - a group of international thought leaders - hematologists, oncologists, IR, ID, etc. all coming together to create #MAGICOnc - appropriateness reccs for vascular access in #Cancer.
Stay tuned for final reccs coming to a journal near you!
HMS Rockstars @vineet_chopra@PajeDavid@engineertodoc presenting at AVA 2024 on our Midline Initiative! It is such a privilege to help inform best practices and national standards for vascular device use.
Balanced crystalloids versus saline for critically ill patients (BEST-Living): a systematic review and individual patient data meta-analysis - The Lancet Respiratory Medicine https://t.co/yBVjRsihQx
When Prehospital tracheal intubation is performed in-cabin, on-scene time is significantly (5min) shorter when compared to outside (360degree access) procedure. Brilliant trial by @SweHEMSdoc et al in @BJAJournals Nice work! https://t.co/JTIuxlvzLP
A study published in @JTraumAcuteSurg this month evaluated 80 patients that died after blunt trauma prehospital and in the ED and had a post-mortem CT scan performed.
TBI was the most common at 40%... okay, not much we can do about that.
~1 in 4 had blood in the belly
~1 in 5 had a major hemo/ pneumothorax
5% had an ET tube in the goose
Potentially some maybe salvaged with blood. But definitely, no one should die from blunt trauma without decompressing their chest and checking tube placement.
https://t.co/Z5Ce97bNYk
#emergency #emergencymedicine #criticalcare #trauma #surgeon #surgery #injury #data #science #research #foamed #foamcc #army #armyemdoc #medtwitter
CRYOSTAT2 results #ccr23:
- Early *empiric* administration of high-dose cryoprecipitate to trauma patients activating the major haemorrhage protocol did not improve 28-day mortality.
- possible evidence of harm if given very early or in penetrating trauma patients...
UK-REBOA results:
REBOA increased mortality at 90 days and at all interim time points.
REBOA increased deaths due to bleeding at 3 hours and 90 days.
REBOA substantially delayed time to definitive haemorrhage control.
💢🎈💢
#ccr23
”Regionvalen är dock ett enormt misslyckande, då halva befolkningen inte ens känner till att regionerna ansvarar för sjukvården.” https://t.co/q7xf3e6L25
Paucity of guidance reflected in clinical practice. ”……this survey of real-world practice in CVADs in haematology centres in Australasia highlights major variation in nearly all aspects of CVAD management.” https://t.co/lILU59CMEx