Blunt traumatic head injury management
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Trauma and tranexamic acid | Medical Journal of Australia

Trauma and tranexamic acid | Medical Journal of Australia | Blunt traumatic head injury management | Scoop.it
Krystle Walters's insight:

Over time there has been a number of limitations that have been pointed out from the results of the CRASH-2 trial. The PATCH-study has been put in place to evaluate the use of tranexamic acid in the pre-hospital environment taking into account these limitations.

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Prehospital cervical spinal immobilization after trauma - Neurosurge…

Prehospital cervical spinal immobilization after trauma - Neurosurgery 2013 Guías de la Sociedad Americana de Neurocirugía respecto al uso de collar cervical
Krystle Walters's insight:

This review looked at the varying forms of spinal immobilization and the impact that this had on the patient generally including increases and decreases in pain. How the patient is immobilized is important in the head trauma patient as these patients will have that mechanism of injury that will require full immobilization. It is well known that controlling intracranial pressure (ICP) is very important and one of the goals in managing head trauma. Within this review was one study that showed Stifneck cervical collars caused an increase in ICP.

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The Role of Tranexamic Acid in EMS & Preoperative Trauma Management -

The Role of Tranexamic Acid in EMS & Preoperative Trauma Management - | Blunt traumatic head injury management | Scoop.it
Tranexamic acid (TXA), used to inhibit the body’s natural clot breakdown, could have value for certain trauma patients in the field.
Krystle Walters's insight:

This review looked at how to implement the use of tranexamic acid in the pre-hospital environment including the dosage and the specific administration. It also warned against the use of tranexamic acid in the pre-hospital environment if this cause of action is not supported and continued in the receiving hospital.

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How CRASH-2 got it wrong - A response by Dr. Mark Walsh - MarylandCCProject.org

How CRASH-2 got it wrong - A response by Dr. Mark Walsh - MarylandCCProject.org | Blunt traumatic head injury management | Scoop.it
In response to comments over his recent criticism of the CRASH-2 trial, Dr. Mark Walsh gives a detailed and researched rebuttal
Krystle Walters's insight:

This review criticizes the results of the CRASH-2 trial that studied the use of tranexamic acid for trauma patients in the pre-hospital environment. The main concern was that by using tranexamic acid there was increased risk of pulmonary embolism and deep vein thrombosis.

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Pre-hospital and initial management of head injury patients: An update.: Discover It!

Krystle Walters's insight:

This review focuses predominantly on the effects of secondary brain injury -hypotension and hypoxemia- and how to avoid and correct them. It also looks at the effect of hypothermia and the role that it plays in pH imbalances.

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TheLancet.com

The Lancet is the world's leading general medical journal and specialty journals in Oncology, Neurology and Infectious Diseases. Available online first. Free registration.
Krystle Walters's insight:

The Crash-3 trial is examining the use of tranexamic acid administration for use in traumatic brain injury (TBI). The trial is not yet complete and results are not expected until 2017. Tranexamic acid has already been shown to be successful for haemorrhaging patients with mainly abdominal and pelvic injuries. This study is just focusing on its use in TBI.

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Feasibility of transcranial Doppler ultrasound examination out-of-hospital - Resuscitation

Feasibility of transcranial Doppler ultrasound examination out-of-hospital - Resuscitation | Blunt traumatic head injury management | Scoop.it
Krystle Walters's insight:

This case study highlighted the use of ultrasound to obtain information on the position and extent of intracranial haemorrhage. With ultrasound already routinely used by doctors aboard the rescue helicopters, using it to assess for intracranial haemorrhage will become an extension of the FAST examination.

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ABC Catalyst_Tranexamic acid - YouTube

Krystle Walters's insight:

This clip introduces not just the use tranexamic acid for the trauma patient, but also the administration of plasma products including platelets to increase the clotting factors not just the red blood cells.

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