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https://www.readbyqxmd.com/read/20554319/effects-of-tranexamic-acid-on-death-vascular-occlusive-events-and-blood-transfusion-in-trauma-patients-with-significant-haemorrhage-crash-2-a-randomised-placebo-controlled-trial
#1
RANDOMIZED CONTROLLED TRIAL
Haleema Shakur, Ian Roberts, Raúl Bautista, José Caballero, Tim Coats, Yashbir Dewan, Hesham El-Sayed, Tamar Gogichaishvili, Sanjay Gupta, Jorge Herrera, Beverley Hunt, Pius Iribhogbe, Mario Izurieta, Hussein Khamis, Edward Komolafe, María-Acelia Marrero, Jorge Mejía-Mantilla, Jaime Miranda, Carlos Morales, Oluwole Olaomi, Fatos Olldashi, Pablo Perel, Richard Peto, P V Ramana, R R Ravi, Surakrant Yutthakasemsunt
BACKGROUND: Tranexamic acid can reduce bleeding in patients undergoing elective surgery. We assessed the effects of early administration of a short course of tranexamic acid on death, vascular occlusive events, and the receipt of blood transfusion in trauma patients. METHODS: This randomised controlled trial was undertaken in 274 hospitals in 40 countries. 20 211 adult trauma patients with, or at risk of, significant bleeding were randomly assigned within 8 h of injury to either tranexamic acid (loading dose 1 g over 10 min then infusion of 1 g over 8 h) or matching placebo...
July 3, 2010: Lancet
https://www.readbyqxmd.com/read/27378053/determination-of-a-testing-threshold-for-lumbar-puncture-in-the-diagnosis-of-subarachnoid-hemorrhage-after-a-negative-head-computed-tomography-a-decision-analysis
#2
Richard Andrew Taylor, Harman Singh Gill, Evie G Marcolini, H Pendell Meyers, Jeremy Samuel Faust, David H Newman
OBJECTIVE: The objective was to determine the testing threshold for lumbar puncture (LP) in the evaluation of aneurysmal subarachnoid hemorrhage (SAH) after a negative head computed tomography (CT). As a secondary aim we sought to identify clinical variables that have the greatest impact on this threshold. METHODS: A decision analytic model was developed to estimate the testing threshold for patients with normal neurologic findings, being evaluated for SAH, after a negative CT of the head...
October 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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