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How much TXA should I give? How should I give it? Should I give it for TBI? These questions (and more) just got answered for @tc3committee by an all-star group in the latest @jsomonline. Check out the full article for a great explanation of the why behind this. . How much TXA should I start with? 2grams SINGLE DOSE. This is based on literature supporting single dose regimens along with logistical ease in the prehospital environment. . What about the second dose? No need. TXA stays in the blood stream for 7-8 hours and maintains effects for up to 17 hours. Even in continued bleeding the authors do not recommend repeat dosing. . Should I use it for TBI? YES. “If the casualty has signs or symptoms of significant TBI or has altered mental status associated with blast injury or blunt trauma.” Multiple studies (to include CRASH-3) support its use and are discussed in the article. . How much time do I have to give it? NOT MUCH. Survival benefits decrease by 10% every 15 min. No benefit after 3 hours. . Can I finally give it IM? Nope, not yet. Not a lot of strong evidence on this, but you want a rapid action of TXA and IV gets to peak concentrations much quicker than IM. . Is IO route ok? YES. (some even use TX as part of flushing the IO line at the start to kill two birds with one stone). . Can I slow push it or do I still need to hang it over 10 min? YES, Slow IV/IO push over 1 minute is good. . Can I give it in the same line as blood/blood products? YES. What about with Hextend? STOP USING HEXTEND. But yes, you can. . Hope this review was useful. Remember, evidence changes frequently so keep reading! Check out the full article for further discussions and let me know your protocols/questions below. #tccc #txa #emergencymedicine - @nardoctor on Instagram


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AMPK Charge+™ is an innovative phytonutrient formula designed to support activation of the metabolic AMPK pathway, a critical regulator of metabolism, healthy cell breakdown and growth, and body weight. AMPK Charge+ can be used alone or in concert with intermittent fasting or carb-restricted diets to support metabolic health, normal inflammatory responses, energy production, fat breakdown, and longevity. AMPK Charge+™ is a key component in month 2 of the Quarantine Recovery Program to help drive deep cellular detox and help reduce old tissue mass and cellular debris, leaving your body energized and clarified. Interested in learning more about the Quarantine Recovery Program? Link in bio. - @quicksilverscientific on Instagram


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This is a bit of a throw back to the beginning of my medical illustration career. I was so proud after creating this one. . #redbyrd #barrie #toronto #redbyrdstudio #designagency #womeninscience #scienceeducation #sciencemuseum #sciencenorth #anatomy #medical #illustration #science #medicalart #education #medicalresearch - @redbyrdstudio on Instagram

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Hey everyone, Tip of the day: Not all fish oil supplements are created equal! The recommended dose for fish oil is 3000 DHA/EPA mg. Most often when it says 1000 mgs on the front, it does not mean 1000 mg of DHA/EPA. Read the back of the label to see what’s inside. Are you currently supplementing with fish oil?! Be happy/ Be Healthy/ Be Informed Coach Evan P.S. Are you looking for training and more information and nutrition help. Click the link in bio and fill out the coaching application and I’ll be in touch #knowledge#indigenous#health#mutantnation#personaltrainer#nutritioncoach#supplementationknowhow - @aframseyfit on Instagram

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This powerful trio is our go to combination for pain in the body. One drop of Copaiba and Frankincense mixed in with a small amount of Deep Blue rub is amazing for local applications. This is tremendous for things like neck and upper shoulder tension, low back aches, cramps, and tightness. Did you know that when you add the pure essential to a carrier oil, like the Deep Blue rub or coconut oil, that it last longer on the local area? This is ideal when you have those targeted problem areas to ensure longer absorption time. To make this trio even more potent, we like to add a drop of Frankincense and a drop of Copaiba under the tongue for internal use. This helps to maximize the therapeutic use of the oils. Are you a member of our doTERRA Team Sol? If so, were having a continuing education class tonight at 7:30PM EST specifically for our members and were talking all about pain management with essential oils. Link in bio to join! If you arent part of our team and you want to be, dm us or comment below and well get you started today. Youll have access to the class tonight and the ones we are doing every week to support our awesome customers. #deepblue #copaiba #frankincense #naturalliving #teamsol - @theoilgram on Instagram

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COPAIBA - - - - - Contiene más del 50% de beta-cariofileno. Es uno de los anti-inflamatorios conocidos fuertes. Es un acuerdo tan puro que puede ser absorbido directamente a través de la piel para obtener resultados inmediatos. Sirve como: ✓ Anti-inflamatorio ✓ Dolor muscular ✓ Garganta irritada ✓ Oxigena células ✓ Ayuda a la desintoxicación del hígado - @young.living.bibianamoran on Instagram

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