Tag Archives: trauma

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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Penetrating Head Injury

Hx: A 60 yo male is transported to a trauma center for a penetrating head injury. EMS reports a hand tool penetrated the forehead and the patient is stable with a GCS of 15. He arrives and is able to give a history of using a chisel when it ricocheted and struck him mid forehead. He states he blew his

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Back Stabbing

Hx: A prison guard is stabbed by an inmate. He is stabbed in the upper back on the left side resulting in a small puncture wound just medial to the scapula. He has immediate onset of back pain then has progressive shortness of breath, diaphoresis, and pain with inspiration. No anterior chest pain. On EMS arrival they find him in

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Facial Injury

Hx: A prisoner in his mid 20’s presents with a facial injury. History from EMS is that the patient had a syncopal episode and hit his face on the edge of a sink sustaining a lip laceration and facial contusion. The patient states he got out of bed, passed out, and hit his face on the way down. He cannot

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Hip Pain Post Fall

Hx: A 25 yo male presents after falling at work. EMS reports that he fell approximately 8 ft from a ladder landing on his right side but without head injury. He complained of severe right hip pain at the scene and was unable to ambulate. EMS vitals signs are significant for tachycardia at 130, sinus. IV placed and normal saline

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Neuro Defecits Post MVC

Hx: 60 yo male presents by EMS post MVC. According to EMS, the patient drove off the road and into a grove of trees. Another driver witnessed the accident and called EMS from the scene. There is no reported loss of consciousness however, the patient was noted to be altered by EMS and a trauma activation was made from the scene.

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Abdominal Pain Post MVC

Hx: A 56 yo female presents by EMS after a motor vehicle collision. She was a restrained driver in a head-on collision with another vehicle. Her airbags deployed. She denies losing consciousness. EMS noted the patient was hypotensive on scene with a systolic blood pressure in the low 90’s. They also noted bilateral ankle deformities, one of which they splinted because

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