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RUSH Protocol

Rapid Ultrasound for Shock and Hypotension (RUSH) The HIMAP protocol was originally published by Weingart et al in 2009 after being discussed publicly in lecture format. The original article appears here.  The protocol examines the following areas: H – Heart (parasternal and four-chamber views) I – Inferior Vena Cava (for volume responsiveness) M – Morison’s pouch (i.e., FAST exam) and views of thorax

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PECARN Pediatric Head CT Rule

The PECARN head injury rule was derived in a population of patients younger than 18 years old with blunt head injury. 42412 patients were included in the study population with a goal of identifying patients at very low risk of clinically important traumatic brain injury (ciTBI) by history and exam criteria, obviating the need for CT imaging.  Child <2 yo

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Glascow Coma Scale (GCS)

 Eyes 4pt – Open spontaneously 3pt – Open to voice 2pt – Open to pain 1pt – No eye opening Verbal 5pt – Oriented, normal conversation 4pt – Confused, disoriented 3pt – Incoherent words 2pt – Incomprehensible sounds 1pt – No sounds Motor 6pt – Obeys command 5pt – Localizes pain 4pt – Withdrawal / flexion to pain 3pt –

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Tranexamic Acid (TXA)

Tranexamic acid is a synthetic form of lysine, an amino acid. It is classified as an “anti-fibrinolytic” which means it is a  pro-coagulant. It binds to receptors on plasmin preventing it from breaking down fibrin clots. Tranexamic acid was originally discovered in 1962 and is currently on the World Health Organization’s list of Essential Medicines.  The drug has been studied

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