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Emergency Care Updates

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Join us tomorrow for the third session of the Emergency Care Webinar Series on Trauma. 💉🩺

📲 http://bit.ly/2TfS5Uw
👨🏽‍⚕️👨🏽‍⚕️ Dr. Bahati Moseti and Dr. Benjamin Wachira
⏰ 7:00pm - 8:15pm EAT

This event is CPD accredited.

Tomorrow evening Dr Bahati Moseti discusses Trauma as we continue our weekly emergency care series with @DaktariOnline . You can register by following this link - https://us02web.zoom.us/webinar/register/WN_aocX-oARTbilz-QQHgUs1w

It gets better and better each year! Introducing the THIRD EDITION of the very popular Ottawa Handbook of Emergency Medicine!

Pocket sized for easy printing (is also hyperlinked for easy device usage) & with some major new content and updates!

https://emottawablog.com/2021/06/ottawa-handbook-of-emergency-medicine/

Out on Wednesday in all those usual places…

https://itunes.apple.com/gb/podcast/the-resus-room/id1090433226?mt=2

https://open.spotify.com/show/4pGoo1XFnPZ4CKkoZ2DRum?si=uuxtPRkSR-2-O_AZpyNoEA

http://TheResusRoom.co.uk #FOAMed

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Tranexamic Acid

TXA is a safe, inexpensive medication that prevents fibrin breakdown.  In traumatic bleeding, it conveys a significant mortality benefit with an impressive NNT for mortality between 7 and 67, depending on injury severity, without apparent serious safety issues.  This benefit is associated with early administration.  TXA should not be given more than three hours after injury as it may increase mortality after this timeframe.  It appears to have equal benefit in a variety of trauma practice environments.

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CRASH-3 Trial: Tranexamic Acid in Mild-Moderate Head Injury

CRASH-3 Trial examined the effect of tranexamic acid on head injury-related death in adults with TBI who were within 3 h of injury, had a Glasgow Coma Scale (GCS) score of 12 or lower or any intracranial bleeding on CT scan, and no major
extracranial bleeding.

The results indicated a reduction in the risk of head injury-related death with tranexamic acid in patients with mild-to-moderate head injury (RR 0·78 [95% CI 0·64–0·95]) but in patients with severe head injury (0·99 [0·91–1·07]) there was no clear evidence of a reduction (p value for heterogeneity 0·030).

The effect of tranexamic acid on head injury-related death stratified by time to treatment and recorded no evidence of heterogeneity (p=0·96). The RR of head injury-related death with tranexamic acid was 0·96 (95% CI 0·79–1·17) in patients randomly assigned within 1 h of injury, 0·93 (0·85–1·02) in those randomly assigned within more than 1 h and 3 h or fewer after injury, and 0·94 (0·81–1·09) in those randomly assigned more than 3 h after injury.

Machakos County: A Model for Emergency Care in the Counties
Machakos County is currently leading in the adoption of the Kenya Emergency Medical Care Policy 2020-2030 developed by the Ministry of Health. Based on the WHO Emergency Care Systems Framework, the Machakos County Emergency Medical Care System is proof that we can have a functioning emergency care system across the different Counties and across the Country.

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