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Glasgow Coma Scale in Children

Pediatric EM Morsels

PubMed: 29631516] van Heuven AW, Dorhout Mees SM, Algra A, Rinkel GJ. Validation of a prognostic subarachnoid hemorrhage grading scale derived directly from the Glasgow Coma Scale. 2008 Apr;39(4):1347-8. doi: 10.1161/STROKEAHA.107.498345. 107.498345. Epub 2008 Feb 28. PMID: 18309166. 2019): 478–483. Ash, Kristian et al. 2018): 192–200.

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REBEL Cast Ep116: The CLOVERS Trial – Restrictive vs Liberal Fluids in Sepsis-Induced Hypotension

RebelEM

These patients can have a vasodilated vascular bed and the initial use of fluids is hypothesized to serve two purposes: Augmenting the macrovascular system (stroke volume and cardiac output) and augmenting the microvascular perfusion (capillary blood flow). Liberal: 14.9% Estimated Difference: -0.9%; 95% CI 04.4 Read more

Sepsis 104
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Grand Rounds Recap 11.29.23

Taming the SRU

Lumbar puncture with xanthochromia or > 2000 RBCs in tube 4 should increase suspicion for SAH. Posterior circulation stroke Patients with posterior strokes will likely have a low NIH. Involve the stroke team if posterior circulation stroke is suspected, as they may be a candidate for TNK, or more rarely, EVT.

Stroke 53
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Doing statistics can be difficult but understanding them can be fairly simple

Sensible Medicine

Back to the Trial With proper randomization, the two groups should be well balanced with regard to baseline characteristics and therefore have no notable sources of bias and confounding. if the risk of heart attacks/strokes in each group was the same, say, 10%, then the risk ratio, 10%/10% = 1. A CVD event occurred in 17.8%

Outcomes 119
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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented.

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Is it Time to Take Another Look at the State of Emergency Care in the U.S.? 

ACEP Now

In 2000, as he was completing his second term on ACEP’s Board, he was elected to the IOM – now National Academy of Medicine – in 2000. We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. It’s time for another push.”

EMS 45
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In Defense of the Coronary Artery Calcium Scan in Primary Prevention of Atherosclerotic Heart Disease

Sensible Medicine

He is a thoughtful well-read cardiologist. JMM Although the skeptical cardiologist questions the value of many procedures and diagnostic tests in cardiology, he remains an enthusiastic advocate of the use of coronary artery calcium (CAC) testing to better personalize each individual's risk of heart attack and stroke.

Stroke 46