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Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel

Pediatric EM Morsels

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. So, it would seem that now is an opportune time for a Rebaked Morsel on Closed Head Injury and the application of PECARN for children less than 3 months of age. 2009 Oct 3;374(9696):1160-70. Epub 2009 Sep 14.

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SGEM#411: Heads Won’t Roll – Prehospital Cervical Spine Immobilization

The Skeptics' Guide to EM

Background: We have covered head injuries including concussions multiple times on the SGEM. This has included looking at the Canadian CT Head Rules/Tools ( SGEM#106 , SGEM#266 , and SGEM#272 ). In order for standards for acute management of spinal injuries to progress, we must optimize patient protection and limit harm [19].

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emDOCs Podcast – Episode 81: Hemophilia

EMDocs

PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. 2009 Nov;15(6):1281-90. Decision rules and hemophilia Have a low threshold for imaging based on the history and exam. Haemophilia.

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Episode 32: Ketamine

PHEM Cast

Trench entrapment: is ketamine safe to use for sedation in head injury? 2009; 64(5): 532-539. Emerg Med J. 2004 May 1;21(3):275–80. Ketamine in prehospital care. Emerg Med J. 2004 May 1;21(3):351–4. Gunning M, Perkins Z, Quinn T. Emerg Med J. 2007 Nov 1;24(11):794–5. McGlone RG, Howes MC, Joshi M. 2013; 19: 390–395 Morris C.

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Forensic Evaluation of Motor Vehicle Accidents

ACEP Now

In the case of an unrestrained driver, the most common locations of impact are the steering wheel, the instrument panel, and the windshield (most commonly resulting in head injury). Unrestrained passengers tend to strike the windshield and dashboard, often sustaining trauma to the head, thorax, and legs. In: Ralph Riviello, ed.