With The EB Medicine Trauma Kit, not only will you earn CME fast, you'll also receive:
- 18 figures illustrating the key findings you need to look for (including diffusion-weighted MRIs; CT scans of gunshot wounds; clinical decision rules for MTBI; illustrations of hematoma blocks, Bier blocks, nerve blocks, and other local anesthetic methods; and 6 additional visual aids).
- 9 clinical pathways that present solid diagnostic and treatment strategies, with each recommendation for action graded according to the strength of the evidence -- so you know the quality of the evidence behind each recommendation.
- Over 600 references that present pertinent information such as type of study and number of patients -- helping you discern the validity of each study.
- 26 tables where key information is condensed in an easy-to-read format -- making it easy to find the information you need.
- 40 pitfalls to avoid that provide risk-management advice highlighting problem areas that could compromise patient care.
- 10 cost- and time-effective strategies that show how saving time and money in the ED doesn't have to mean cutting corners.
- Over 100 pages of in-depth, unbiased, peer-reviewed, and evidence-based diagnosis and treatment recommendations.
You get a total of 16 trauma CME credits that you can earn instantly online!
With The EB Medicine Trauma Kit, you can read the PDFs online or print them out to read at your leisure. When you’re done, simply visit our website, take the quick CME test, and receive trauma CME credits immediately. Plus, your credits are stored permanently on our website, so you have instant access to them at any time. It’s that easy!
Order now to start earning online trauma CME fast. The EB Medicine Trauma Kit is only $97 -- less than any other evidence-based trauma CME resource available!
Abstract: An Evidence-Based Approach To Traumatic Pain Management In The Emergency Department
Pain is present in up to 70% of emergency department (ED) visits. It has profound economic consequences, with losses estimated at $61.2 billion per year in the United States. Approximately 34% of ED visits are related to injuries, and the majority of these warrant symptomatic management. Therefore, traumatic pain management comprises a large part of emergency care. There has been a great deal of research performed on pain, although particular areas (eg, acute headache) have more data than others. Consequently, recommendations and discussions are not evenly distributed. Indeed, pain management is such a broad topic that fellowships and entire careers are devoted to its study. Numerous studies suggest that, in general, ED pain management is inadequate. There are many factors that influence appropriate pain management. Patient factors (type of injury, age, medical history) as well as resource availability, cost, and provider familiarity with different options create a diverse array of practice patterns. There is no obvious “correct” strategy to any particular situation, and it benefits both the patient and provider for the emergency clinician to be familiar with the underlying mechanism and treatment options for such conditions. This issue of Emergency Medicine Practice provides a foundation for the management of acute traumatic pain in the emergency setting.
Abstract: Ballistic Injuries In The Emergency Department
According to 2007 data, gunshot wounds from homicides, suicides, and accidents caused 31,000 deaths in the United States, with even higher numbers of serious, nonfatal injuries. In recent years, new evidence on effective treatment of patients with gunshot wounds has come from military settings and is being adapted for civilian emergency departments. Effective, evidence-based management of ballistic injuries in the ED is vital. This issue of Emergency Medicine Practice reviews the physics of ballistics as it relates to the tracts and patterns of tissue injury caused by different types of firearms and missiles, and it takes a regional approach to reviewing the current evidence for managing gunshot wounds to the head, neck, thorax, abdomen, genitourinary system, extremities, and soft tissues. Current guidelines as well as new research and evidence regarding fluid resuscitation, airway management, evaluation strategies, drug therapies, and documentation are discussed.
Abstract: Management Of Mild Traumatic Brain Injury In The Emergency Department
With over 1.7 million people in the United States seeking medical attention for head injury each year, emergency clinicians are challenged daily to screen quickly for the small subset of patients who harbor a potentially lethal intracranial lesion while minimizing excessive cost, unnecessary diagnostic testing, radiation exposure, and admissions. Whether working at a small, rural hospital or a large inner-city public hospital, emergency clinicians play a critical role in the diagnosis and management of mild traumatic brain injury. This issue of Emergency Medicine Practice assesses the burgeoning research in the field and reviews current clinical guidelines and decision rules on mild traumatic brain injury, addressing the concept of serial examinations to identify clinically significant intracranial injury, the approach to pediatric and elderly patients, and the management of patients who are on anticoagulants or antiplatelet agents or have bleeding disorders. The evidence on sports-related concussion and postconcussive syndrome is reviewed, and tools for assessments and discharge are included.
Abstract: Traumatic Hemorrhagic Shock: Advances In Fluid Management
A number of concerns have been raised regarding the advisability of the classic principles of aggressive crystalloid resuscitation in traumatic hemorrhagic shock. This issue of Emergency Medicine Practice reviews the advances that have led to a shift in the emergency department protocols in resuscitation from shock state, including recent literature regarding the new paradigm for the treatment of traumatic hemorrhagic shock, which is most generally known as damage control resuscitation (DCR). Goals and endpoints for resuscitation and a review of initial fluid choice are discussed, along with the coagulopathy of trauma and its management, how to address hemorrhagic shock in traumatic brain injury, and new pharmacologic treatment for hemorrhagic shock. The primary conclusions include the administration of tranexamic acid (TXA) for all patients with uncontrolled hemorrhage (Class I), the implementation of a massive transfusion protocol with fixed blood product ratios (Class II), avoidance of large-volume crystalloid resuscitation (Class III), and appropriate usage of permissive hypotension (Class III). The choice of fluid for initial resuscitation has not been shown to affect outcomes in trauma (Class I).
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