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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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Giving is in all of us. Right now, all blood types are needed to help keep our community’s blood supply healthy.⠀ ⠀⠀ ⠀ For an appointment, call or text us at 800-366-2834 or visit CarterBloodCare.org. - @carterbloodcare on Instagram
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Thank you all for this wonderful weekend. We are glad to see you back! ✨ We also want to thank all the artists who participated and collaborated in the making of the exhibition! 💕 📷 Veerle Vercauteren #kanalcentrepompidou #johnarmleder #itneverends #brussels #culture - @kanal.centrepompidou on Instagram
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More than 30 #pubs from Widnes Pubwatch joined our major trauma teams online 💻 as they conducted their @KnifesaversUK training, on how to help save the life of someone who’s been stabbed. . Each venue has been given a KnifeSavers bleeding control kit, which contains life-saving trauma and #military-grade equipment ✅ . Mr Nikhil Misra, the major trauma surgeon who developed KnifeSavers, said: “During the session we taught vital skills which can help save a life in the first few minutes after someone is stabbed. Naturally, we hope that these never have to be used, but if an incident happens then we know that immediate action can save lives.” . Peter Bradley arranged the training event after the sad death of his friend, landlord Chris Thornton, who was killed in a knife attack last year. The training is the latest in a series of steps taken by Widnes PubWatch landlords which have seen a drop 📉 in drink-related crime in Widnes. . Peter said: “My friend Chris sadly had his life taken in his own pub due to knife crime. This hit his family, friends and the community hard. We never expected it to happen so close to home and especially to someone we all knew and loved. . “The KnifeSavers training event for the Widnes Pubwatch group is giving us the opportunity to make our community a much safer place.This is just the start, as my next focus is to buy KnifeSavers packs for the schools in Widnes. . “Without the support of Mr Misra and his KnifeSavers team, I wouldn’t have got this far. I am truly grateful.“ . Fantastic work by all those involved! 👏👏👏 . #knifecrime #nhs #healthcare #landlords #pubwatch - @liverpoolhospitals on Instagram
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Happy first day of #fall! While its debatable if an 🍎 a day keeps the doctor away, we know we love this nutrient-packed fruit. Apples are full of #antioxidants that support brain and heart health, #vitaminC, #potassium, and one apple = 17% of your daily #fiber intake. Which is your favorite #apple variety? We love honeycrisps 🍎 #firstdayoffall #autumn #produce #fruitsandveggies #fruits #health - @foodinsight on Instagram
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My album will be out next thursday 11 June via @vento.records . It includes some tracks i like, some i quite like and def none i hate. . Im pretty sure those words were from Rjd2, couldnt find better ones. . Videos are dropping soon too, and whoknows whatelse. - @gasperoni.luca on Instagram
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#diabetessupport #type2diabetes #jdrf #diabeteseducation #tsliminthewild #diabetesuk #prediabetes #diabeteshumor #type1warrior #diabetes1 #chronicillness #girlswithgadgets #type1diabetes #typeonestrong #diabeticsofinstagram #diabetesinfantil #thedropspotted #type1blog #invisibleillnessawareness #diabetestype1 #diabetesjsr #diabetesdiet #chronicillnesswarrior #diabetesmemes #diabetescommunity #diabetesawareness #diabeticproblems - @diabetesawareness.ig on Instagram
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View link in bio or visit www.neilmedpac.com #neilmedpiercingaftercare #neilmedpiercingpro #neilmedpac #neilmedpacsupports - @neilmedpiercingaftercare on Instagram
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Here is Tuesdays DAT Question of the Day:⠀ ⠀ #DATBootcamp #DATprep #DATstudying #dentalcare #oralhealth #oralhealthcare #healthiswealth #smile #smileandwave #biologyiscool - @datbootcamp on Instagram
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The physicians high and only mission is to restore the sick to health,to cure,as it is termed_Dr.Christian Friedrich Samuel Hahnemann . . . . . . . . . . . . . . . . . . . . . . . #doctorsofinstagram #doctors#stethescope#homoeopathicmedicine#homoeopathy - @__unadultered__reality__ on Instagram
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Catholic Charities of Boston has five food pantries across Eastern Massachusetts! Were here to help anyone in need ensure they have food on their table for their next meals. If you, or someone you know is experiencing food insecurity, please visit one of our food pantries!⠀ ⠀ #Foodpantry #donation #support #community #food #foodsecurity #helping #help #donate #Dorchester #Brockton #Somerville #Lowell #SouthBoston #Boston #BostonMA #ccab #catholiccharities #catholiccharitiesofboston - @charitiesboston on Instagram
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Migraine Headache can be effectively treated! The great news for many who are affected by a recurring migraine, is that we can effectively reduce brainstem sensitivity specialised neck treatment. Dean Watson, who has developed the Watson Headache Approach over the past 20 years, has researched and reported on this method, proving that this technique can reduce brainstem sensitivity and effectively improved quality of life for migraineurs. - @headacheandmigrainecentre on Instagram
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The Accounting Society invites undergraduate and graduate students on Tuesday, September 22, from 6-8 p.m. PDT, to Virtual Meet the Firms, an annual event where students can network with up to 15 accounting-related firms. This is a great way to connect with internship, job and other summer opportunities as well as learn more about what is like to have a career in accounting. For more information, register here through CBA’s online calendar! #LMUCBA #LMUCBAinsights #loyolamarymount #LMUCBAonlineEXP #LMUCBAcourage - @lmucba on Instagram
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Enquanto você ficava seguro em sua casa, esses profissionais estavam no front da batalha contra a COVID, passando semanas distantes de seus familiares, vivendo no stress absoluto e colocando suas vidas em risco para salvar a vida de OUTRAS PESSOAS! Agora que a situação está melhorando, eles gostariam de curtir alguns dias de paz aqui em Noronha para amenizar todo o stress que viveram nos últimos meses mas, como eles não contraíram a COVID, NÃO poderão vir pra cá, já que a ilha está aberta apenas para quem já pegou a doença, pessoas estas justamente as que eles tanto se sacrificaram para salvar. Quanta injustiça, né? Se você é um profissional de saúde que combateu de frente o coronavírus e gostaria de vir pra cá mas não pode porque não pegou a doença, manda um depoimento escrito ou por vídeo pra gente divulgar aqui! . *A foto é ilustrativa mas a história é real! . #fernandodenoronha #noronha #neuronha #amonoronha #noronhalovers #noronhaparatodos #covid #direitosiguais #coronavirus #pandemia #noronhaoficial - @noronhaparatodos on Instagram
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Getting a flu vaccine this fall will be more important than ever, not only to reduce your family’s risk from the flu but also to help conserve health care resources. East Tennessee Children’s Hospital, Blount Memorial Hospital, Covenant Health, Tennova Healthcare and The University of Tennessee Medical Center urge everyone ages 6 months and older to get a flu shot. Help keep our community safe from another respiratory illness during the COVID-19 pandemic #FightFlu - @easttnchildrens on Instagram
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Sivaramakrishna Iyer Padmavati née 1917. 🇮🇳 Dr. Padmavati, the first female cardiologist in India who established a cardiac cath lab and cardiac clinic in North India. Currently, she is the director of the National Heart Institute in Delhi. She is also the founder of All India Heart Foundation. The institute collaborates with the World Health Organisation to train students in preventative cardiology. #womenincardiology #woman #women #womeninbusiness #womenempowerment #womenentrepreneurs #medicine #medic #medical #medicin #medicalschool #doctor #surgery #surgeon #womenempoweringwomen - @womenincardiology 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
