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Coda Change

Mar 30, 2017

Patients with TBI (traumatic brain injury) often have concomitant systemic injuries that complicate the management of the TBI. How does the practitioner balance the needs of the hypotensive resuscitation with CPP? How does ICP affect emergent operative needs? Thoracic injuries complicate cerebral oxygenation -...


Mar 28, 2017

Rory Staunton was a healthy 12-year old boy, known for his smile and his work standing up for others. A simple fall during basketball practice caused an abrasion on his arm, which is the suspected beginning of a cascade of events that led to his death from sepsis. Rory was seen by both his pediatrician and a...


Mar 28, 2017

Describing the importance of patient handover and the critical time when the pre-hospital practitioner will give this information to the receiving hospital staff. Using an analogy of the characters that appear in cowboy films, the preacher stands out as one who usually plays a small but significant role in getting his...


Mar 27, 2017

Sepsis is the life-threatening condition that arises when the body's response to an infection damages its own tissues and organs. It can lead to shock, failure of multiple organs, and death. Organ failure and death are more likely if sepsis is not recognized early and not treated promptly. Sepsis is the leading cause...


Mar 26, 2017

To cool or not to cool. Traumatic brain injury is a major cause of mortality and long term morbidity. Hypothermia has been suggested as a potential treatment to limit secondary brain injury and improve outcomes. However, this currently remains controversial. Despite many small studies and meta-analyses suggesting...