Controversy exists over the transfusion thresholds and goals in patients with acute upper GI bleeds. In this episode we look at scoring systems associated with the management of acute GI bleeds and a key paper on transfusion strategies.

Upper GI bleed; what's your transfusion threshold?

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An overview of sedation in the Emergency Department

Sedation in the ED

So we're here at SMACC being treated to a fantastic conference and some superb talks. Last night (Day 1) closed with a superb panel of experts from across the globe talking on sepsis including Melvyn Singer, Paul Marik, John Myburgh, Simon Finfer, Kathryn Maitland & Flavia Machado. The panel challenged current global practice on sepsis including the use of SIRS criteria, antiobitic prescribing patterns and the utility of lactate.

Sepsis SMACCback

Over the last few episodes we’ve talked about the use of vasopressors and their utility in resuscitation. It is a commonly held belief that giving vasopressors peripherally puts patients at high risk of extravasation and secondary skin necrosis. In an ideal world patients would have a central line placed and then have their vasopressors commenced, sadly life in the ED doesn’t always mean that time permits this luxury......

Peripheral vasopressors and preshospital LMA vs ET Tube in Cardiac Arrest

Rapid sequence induction, or RSI, is the preferred method of emergency tracheal intubation outside the operating room because it results in a rapid state of unconsciousness (induction) and neuromuscular blockade (paralysis). The Scottish Intensive Care Society defines RSI as follows........

RSI in the ED; should EM be taking the lead?

We catch up with Dr David Raven, Consultant in EM at HEFT regarding his Hector project, Heartlands Elderly Care Trauma & Ongoing Recovery, with a progress report.

Upper GI bleed; what's your transfusion threshold?

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