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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Predicting outcome in individual patients after severe head injury.

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Episode 30: Head injury

PHEM Cast

[link] Quite a few of our previous podcasts include content which is relevant to this Head Injury one. References The Brain Injury Foundation guidelines which Fliss mentions can be accessed here. Doubts over head injury studies. 2007 Feb 24; 334(7590): 392–394. Mannitol for acute traumatic brain injury.

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Acute Esophageal Variceal Bleeding in Children

Pediatric EM Morsels

Maybe injuries to the spleen or kidney come to mind. Perhaps thoughts of pelvic injuries or severe head injury dominate our considerations. Specific Therapies for Variceal Hemorrhage : [ Luoto, 2020 ; Castillo, 2019; Garcia-Tsao, 2007 ] Antibiotic prophylaxis (usually for 7 days) Ceftriaxone is reasonable 1st choice.

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EM@3AM: Pneumocephalus

EMDocs

4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% There is no evidence that steroids (D) are beneficial in head injury. Brain Injury Medicine, Principles And Practice. 2007 ) ISBN:1888799935.

EMS 119
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Episode 32: Ketamine

PHEM Cast

Trench entrapment: is ketamine safe to use for sedation in head injury? 2007 Nov 1;24(11):794–5. Ketamine in prehospital care. Emerg Med J. 2004 May 1;21(3):351–4. Gunning M, Perkins Z, Quinn T. Emerg Med J. McGlone RG, Howes MC, Joshi M. The Lancaster experience of 2.0