Management of severe abdominal trauma
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Study of Tranexamic Acid during Air Medical Prehospital transport (STAAMP) trial | Study > Current

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This isn't a completed study, however is seeking results from use of TXA in aeromedical evacuations for patients suffering major trauma. It provides a really nice breakdown of how TXA works and why it should be used in pre-hospital care. 

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

The Role of Tranexamic Acid in EMS & Preoperative Trauma Management - | Management of severe abdominal trauma | Scoop.it
Tranexamic acid (TXA), used to inhibit the body’s natural clot breakdown, could have value for certain trauma patients in the field.
Brittany Claire Harvey's insight:

This is a fantastic article that illustrates exactly when and why paramedics should administer TXA to trauma patients suffering haemorrhagic shock. 

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Focused Assessment with Sonography in Trauma (FAST)

Focused Assessment with Sonography in Trauma (FAST) | Management of severe abdominal trauma | Scoop.it
Focused Assessment with Sonography in Trauma (FAST). Blunt abdominal trauma (BAT) is a common reason for presentation to the emergency department (ED).
Brittany Claire Harvey's insight:

This is quite a detailed article on the use of FAST scans in general. It provides quite a thorough history as to when and why FAST scans were brought in for assessment and the benefits they provide as apposed to other forms of imagery such as CT scans. There is an overview of indications and contraindications for use as well as  detailed written step-by-step instructions on how to accurately perform the task as well as video prompts to provide a visual learning tool as well. 

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FAST-EFAST

Focused Assessment with sonography in trauma to evaluate for fluid in abdomen or pericardial sac.
Brittany Claire Harvey's insight:

This video is a short 'crash-course' on how to do a very basic fast exam. It shows the viewer very briefly how to perform the task and what differentiates a positive FAST scan from a negative FAST scan out in the field. It does not provide any insight as to what may occur to your patient if the results were of a positive nature. 

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An Hour To Save Your Life - Tranexamic Acid - YouTube

Brittany Claire Harvey's insight:

This is a quick segment from the UK television program 'An hour to save your life' which actually demonstrates when and why paramedics use TXA in trauma and briefly discusses how useful it is in saving patients. This particular patient has been affected by blunt traumatic forces as he was crushed by a cow and suffered massive internal abdominal haemorrhage. 

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Ultrasound in Trauma - The FAST Exam Focused Assessment with Sonography in Trauma

Ultrasound in Trauma - The FAST Exam Focused Assessment with Sonography in Trauma | Management of severe abdominal trauma | Scoop.it
Brittany Claire Harvey's insight:

This is quite an extensive article about the introduction and use of FAST scans in trauma patients. It provides an extensive insight to the indications of use and why it is of such paramount importance that it is used in all blunt force and penetrating trauma patients. Unlike the others looked at previously, this article also talks about when you cannot find the view you are looking for, why that may occur and what you can do differently so that the best results ensue so that the patient may receive the best care possible for their injuries. 

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eFAST : extended Focused Assessment with Sonography in Trauma

An intense and fun tutorial on how to perform an eFAST with examples of real pathology.
Brittany Claire Harvey's insight:

Although a tad gimicky at times, this tutorial video on FAST scans is quite helpful. It answers why they should be used, when the should be used and how to effectively use them. It shows very clearly where to use the probe and gives a very clear look at what it is that you are trying to observe and provides a very distinct picture of what a negative and positive FAST will look like. 

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