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All WIMB Chiro and PTs now offering Dry Needling What’s Dry Needling? Dry needling (DN) is a skilled intervention performed by various healthcare professionals including MDs, chiropractors, physical therapists, and athletic trainers. It is the insertion of fine filiform needles into the body to treat a variety of neuromusculoskeletal conditions. This includes both acute and chronic conditions such as muscle strains, tendonitis, tendinopathy, trigger points, headaches, sciatica, plantar fasciitis, and low back and neck pain. It has been shown to reduce local and referred pain, improve range of motion, and enhance recovery. Dry needling is a safe procedure and the most common side effects are muscle soreness and mild bruising. Is Dry Needling the Same as Acupuncture? Dry needling is similar to acupuncture in that both involve the insertion of fine needles into the body. However traditional acupuncture is rooted in eastern philosophy and ancient Chinese medicine, while dry needling is based on western medicine. Acupuncture, therefore, utilizes a systems-based understanding of the body in its approach to addressing imbalances, whether they be musculoskeletal, hormonal, immune-mediated, or nervous system-based. This may entail needling at the site of an issue or needling elsewhere in the body to create a signal that provokes a healing response. Acupuncturists employ palpatory techniques to elicit feedback from the body that guides their treatment decisions, allowing for a treatment scenario in which chronic/constitutional imbalances and acute pain conditions can be addressed holistically and simultaneously. Acupuncture treatments often involve additional adjunctive therapies such as cupping, non-insertive techniques, and topical herbal treatments designed to improve circulation and reduce inflammation. Acupuncture is a safe practice with the most common side effect being sedation. To schedule either Dry Needling or Acupuncture check out link in bio. - @wimboston on Instagram

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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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⁣⁣⁣⁣Type 🅾️ donations are urgently needed!⠀⁣⁣⁣ ⠀⁣⁣⠀⁣ The drop in our community supply has left us with an insufficient amount of O-positive and O-negative blood, which are typically used in life-saving⁣ emergency situations.⠀⁣⁣⁣ ⠀⁣⁣⠀⁣ In an effort to rebuild our supply, we are asking our donors in our DFW, East Texas and Central Texas communities to take the time and #GiveForLife THIS WEEK. One donation could save three lives.⠀⁣⁣⁣ ⠀⁣⁣⠀⁣ For an appointment and to check availability, call or text 800-366-2834 or visit the link in our bio. - @carterbloodcare on Instagram

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