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Trauma Resuscitation Updates

RebelEM

Severe Traumatic Brain Injury and Controlled Hemorrhage in Rats: Quest for the Optimal Mean Arterial Blood Pressure After Whole Fresh Donor Blood Resuscitation. Shock 2012. Association of out-of- hospital hypotension depth and duration with traumatic brain injury mortality. PMID: 31461138 Brotfain E et al. Ann Emerg Med.

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SGEM#412: I Can’t Choose…from all the Head Injury Prediction Rules

The Skeptics' Guide to EM

Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. He is a […] The post SGEM#412: I Can’t Choose…from all the Head Injury Prediction Rules first appeared on The Skeptics Guide to Emergency Medicine. So, should we CT scan children with minor head injury?

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

CRASH-3 TRIAL COLLABORATORS This international, multi-center, randomized, placebo-controlled trial looked at the effects of TXA on head injury-related death, disability, and adverse events in adult patients with TBI. The primary outcome was head injury-related death in-hospital within 28 days of injury.

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Episode 16: “Blood”

PHEM Cast

Early correction of hypotension (especially if blunt trauma / associated head injury) The balances of harms in the context of blunt trauma between the negative effects of infusing saline versus the negative effects of hypotension are unknown and prehospital actions need to be customised to an individual patient and situation.

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Mastering Minor Care: Concussion

Taming the SRU

Several definitions have been set forth for this common injury, with perhaps the most well accepted definition being introduced by the Centers for Disease Control and World Health Organization. For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm. 2012 Jan 15;85(2):123-32. JAMA Pediatr.

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Vomiting in the Young Child: Nothing or Nightmare

Pediatric Emergency Playbook

Abusive head injury is the most common cause of death from child abuse. Up to 30% of infants with abusive head injury may be misdiagnosed on initial presentation. 2012; 43(1): e49–e51. Infants especially present with non-specific complaints like fussiness or vomiting. Louwers et al. Child Abuse & Neglect.

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Episode 32: Ketamine

PHEM Cast

2012 Jun 1;59(6):504–12.e1–2. 2012 Jan 11. Trench entrapment: is ketamine safe to use for sedation in head injury? Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial. Ann Emerg Med. Ann Emerg Med. Emerg Med J.