The Skeptics' Guide to EM

JUNE 17, 2023

The National Heart, Lung, and Blood Institute (NHLBI) released an expert panel report in 2014 with evidence-based guidelines for management of sickle cell disease recommending timely administration of parenteral opioids for VOE. [7] 1-6] Children with SCD presenting to the ED with VOE require timely and effective pain control.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Background: Head trauma is an exceedingly common presenting complaint in the emergency department, with approximately 2.5 million emergency department visits in the US in 2014 [1], with the most significant proportion of visits occurring in the elderly ≥75 (1,682/100,000) [1].

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

EM Curious

APRIL 29, 2015

TOP 10 TRAUMA PAPERS OF 2014-2015 [PODCAST]: It's been a huge year in trauma literature with big changes and a large volume of dogma smashing evidence. Listen to a great review of the top 10 trauma papers in 2014-2015 @ St. Emlyns Blog. Don't believe me? Read on regarding some recent evidence on this subject here @ Rebel EM.

Head Injuries 52

Head Injuries EMS Pediatrics CPR 52

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

Don't Forget the Bubbles

JUNE 30, 2023

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. A recent review was conducted on Trauma Quality Improvement Program data between 2014 and 2016. 2014 Sep;45(9):1287-95.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Pediatric Emergency Playbook

JANUARY 1, 2016

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. 2014; (38): 1275–1281. ISPAD Clinical Practice Consensus Guidelines 2014. 2014 Sep;15 Suppl 20:154-79. Louwers et al. Pediatr Diabetes.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

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. Jan; 151(1): 127-138.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

PHEM Cast

MARCH 3, 2019

2014 Dec;31(12):1029. 2014 Oct;31(10):840–3. Trench entrapment: is ketamine safe to use for sedation in head injury? Emergency Medicine Journal. Jennings PA, Cameron P, Bernard S, Walker T, Jolley D, Fitzgerald M, et al. Emergency Medicine Journal. Emerg Med J. 2004 May 1;21(3):275–80. Ketamine in prehospital care.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52