St. Paul's Hospital Emergency Department The Continuous Pursuit of Excellence in Patient Care and Academic Emergency Medicine

Deb Watts CNL found this article after a harrowing day in the trauma room with a ruptured AAA.  Check it out! 

Principles of Fluid and Blood Warming in Trauma

 

 

Vancouver Coastal Health Trauma Program Clinical Practice Guidelines and Protocols 2005

 WARNING! This file is over 4 MB.

The Authors of this study conclude:

"Treatment with rFVIIa within four hours after the onset of intracerebral hemorrhage limits the growth of the hematoma, reduces mortality, and improves functional outcomes at 90 days, despite a small increase in the frequency of thromboembolic adverse events. "

N Engl J Med 2005;352:777-85. (Link)

 

 

These 2 articles showed that CPR is not often performed per protocol.  They stop short of showing that the quality of CPR affects pt outcomes, but this is strongly implied.

In Hospital CPR

JAMA. 2005;293:305-310. (Link)

 

Out of Hosptial CPR

JAMA. 2005;293:299-304. (Link)

 

A prospective observational study from the UK (includes A&E departments) of the impact of 6 and 24 hour Sepsis Bundles on hospital patient mortality. Critical Care 2005, 9:R764-R770. (Link)