In this episode…
- Scott Weingart joins ERcast to give his take on 3 factor PCC and FEIBA.
- A new technique for reducing mandibular dislocations.
- Call for videos- Roberts and Hedges Clinical Procedures in Emergency Medicine
- The ERCast rant off is just around the corner. Send us a 90 sec (or less) MP3 of your wisdom or vitrol.
A better way to reduce a mandibular dislocation?
Daniel Gromis has applied lessons learned from the Cunningham Technique for shoulder reduction and applied them to mandibular dislocations. One of the main hurdles in reducing a dislocated mandible is overcoming the spasm and force of the masseter muscle. By massaging the masseter and using a ‘casting’ type motion of the wrist, the Gromis Method may obviate the need for procedural sedation.
Roberts and Hedges Video Submission
Have a video you think would be a good fit for Roberts and Hedges Clinical Procedures in Emergency Medicine?
More on FEIBA and PCC
International Journal of Emergency Medicine 2009 2:217–225 Activated prothrombin complex concentrate factor VIII inhibitor bypassing activity (FEIBA) for the reversal of warfarin-induced coagulopathy,”
Suboptimal effect of a three-factor prothrombin complex concentrate (Profilnine-SD) in correcting supratherapeutic international normalised ratio due to warfarin overdose. Transfusion. 2009;49:1171–7
Imberti D, Barillari G, Biasioli C, et al. Emergency anticoagulation reversal with a 3-factor prothrombin complex concentrates in patients with intracranial haemorrhage. Blood Transfus.2011;9:148–55.
First trauma study of 3-factor (profilnine SD on average 35 units/kg) showed good reversal of coagulopathy (J Trauma 2012;72(4):828)
This retrospective study is one of the first to show outcome benefit from PCC reversal (Cerebrovasc Dis. 2011;31(2):170-6)
Rant off 2012
Is there something in emergency medicine or medicine in general that really gets your goat? Are your frothing at the mouth, just waiting for a chance to tell the world your take? Last year, rants ranged from the vitriolic, to educational, to philosophical. Last year’s Rant-Off can be heard here http://blog.ercast.org/
1. Think of rant
2. Record rant. 90 seconds or less time limit. If you don’t have a microphone, a smartphone works great
3. Email your rant to firstname.lastname@example.org