Don't Forget the Bubbles

JUNE 30, 2023

No, I don’t give TXA to kids with isolated head injuries We want to stop any clot breakdown to try and slow any potential bleeding. CRASH 2 , published in 2013 – was huge. What about head injury , though? Along came the CRASH 3 trial, another huge study looking specifically at TXA in traumatic brain injury.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

PHEM Cast

OCTOBER 29, 2018

[link] Quite a few of our previous podcasts include content which is relevant to this Head Injury one. Autoregulation Allows giraffes to drink from pools without a rush of blood to the head and eat leaves from trees without fainting. Doubts over head injury studies. Mannitol for acute traumatic brain injury.

Head Injuries 52

Head Injuries 52

The Skeptics' Guide to EM

AUGUST 5, 2023

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?

Head Injuries 40

Head Injuries Pediatrics Fractures Outcomes 40

Don't Forget the Bubbles

OCTOBER 19, 2023

The primary survey confirms isolated head injury – Bee’s drowsy, and a formal GCS is 12 – E3, V4, M5. You’ve two options: Yes – give TXA No – don’t give TXA The 2013 CRASH 2 international multicentre RCT compared TXA with placebo in >20,000 adult trauma patients. But what about the evidence of TXA in isolated head injury?

Head Injuries 81

Head Injuries Fractures Outcomes Hospitals 81

EMDocs

JULY 11, 2023

A 2013 study found oral mucosal and head bleeding due to injury were most common in those < 6 months. 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. PMID: 19637999.

Head Injuries 75

Head Injuries Pediatrics Dislocations CDC 75

PHEM Cast

FEBRUARY 23, 2017

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.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

Taming the SRU

FEBRUARY 12, 2024

After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs. She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. Blood Coagul Fibrinolysis.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80