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Blood ‘n Guts: hold the blood, save the patient?

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One of the trends of recent trauma literature has been the use of “minimal volume” or “permissive hypotension” strategies in the face of bleeding. Now there is a new study from the New England Journal that compared 2 transfusion strategies in acute upper GI bleeding. And guess what?  It looks like less is more in […]

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Paracentesis: are you stabbing in the dark?

Had a few problematic ascitic taps recently in our place – so I thought I would have a look at the evidence around paracentesis, what is new and what works.  There are a few medical “rules” out there for this procedure, but are they supported by the data? Click to see my review of each of […]