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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. PECARN Works too! Acad Emerg Med. Epub 2016 Apr 20.

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Dysphagia and Cervical Spine Injury

The Trauma Pro

Patients with cervical fractures more commonly need a tracheostomy for ventilatory support and/or have a head injury , and these are well known culprits in dysphagia Normal soft tissue (<6mm at C2, <22mm at C6) A study in the Jan 2011 Journal of Trauma outlined the dysphagia problem seen with placement of a halo vest.

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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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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. Gana, 2011 ] Endoscopy and other procedures Currently still debated, but reasonable to discuss additional options with your friendly Pediatric GI team. 2011 Jun;52(6):751-5.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

11 Curiously, VAP in patients with traumatic head injury does not appear to increase mortality, but does increase ventilator time, ICU, and hospital length of stay. BMC Neurol 2011 , 11 , 110. Bacterial colonization patterns in mechanically ventilated patients with traumatic and medical head injury. Westendorp, W.

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs. DISCUSSION Epidemiology and Background Rivaroxaban, along with other direct oral anticoagulants (DOACs), has become a mainstay of treatment for pro-thrombotic conditions since 2011. [1] N Engl J Med.