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Emergency Medicine Cases

EM Quick Hits 64 Whole Blood Transfusions, Calcium Before Diltiazem in Afib, Thoracotomy Pearls, Uterine Casts, OMI Scale & Proportionality

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 21 April 2025

⏱️ 61 minutes

🧾️ Download transcript

Summary

In this month's EM Quick Hits podcast: Zafar Qasim & Andrew Petrosoniak on whole blood transfusion in trauma, Justin Morgenstern on calcium pre-treatment to prevent diltiazem-induced hypotension, Kiran Rikhraj on dynamic LV outflow tract obstruction, Anand Swaminathan on resuscitative thoracotomy, Andrew Tagg on uterine casts, and Jesse McLaren on scale & proportionality in occlusion MI ECG interpretation. **Please support EM Cases to continue to be free open access by making a donation: https://emergencymedicinecases.com/donation/

Transcript

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0:00.0

This is Emergency Medicine Cases, EM Quick Hits podcast, and I'm your host, Dr. Anton Hellman. EMCases is brought to you by Shremi, the Schwartz-Rizman Emergency Medicine Institute. That's a non-profit organization dedicated to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing

0:21.5

physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the Institute nor medicine cases. First, a word from our sponsor, Metricade, the experts in complex physician scheduling since 2012. I've been using Metricade's incredible scheduling system for a decade, and it's been a game changer for me and my colleagues. Shiftwork comes with his challenges, but Metricade helps

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Shift work comes with his challenges, but Metricade helps minimize the drawbacks by ensuring

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1:25.7

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1:31.9

When it comes to transfusions and trauma patients, there's red cells, there's massive hemorrhage

1:38.2

protocols with red cells, there's platelets and plasma with one-to-one-to-one ratios of component

1:43.5

therapy and one-to-one-to ratios of component therapy and one to one to two

1:45.3

ratios. And then there's whole blood. Now, it kind of makes intuitive sense to me to simply

1:52.4

replace blood with blood, but of course, it's not so simple. Now, thankfully, there has been

1:59.4

quite robust literature on whole blood transfusion lately so as part of

2:04.1

our best of isom series that's the best of the international conference of em i asked our go-to

2:10.6

em cases trauma expert andrew petrosoniac who just happens to be chairing the trauma section of the

2:16.2

conference good choice, Isam,

2:18.2

to send me some speakers that he thought would be great for our EM cases listeners.

...

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