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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. 2015 Nov;100(11):1032-7. Epub 2015 Aug 21.

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Preperitoneal Packing Vs Angioembolization: Part 1

The Trauma Pro

A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. Next, I’ll review an early paper that compared the snippets of information we had to angioembolization. As I continue to preach, going anywhere but the OR is dangerous for the patient.

Fractures 147
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EM@3AM: Pneumocephalus

EMDocs

4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% There is no evidence that steroids (D) are beneficial in head injury. 2015 Sep 29;6:155.  Korean J Anesthesiol. 2010 Surg Neurol Int.

EMS 119
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Tasty Morsels of Critical Care 039 | Management of raised ICP

Emergency Medicine Ireland

This is part of Oh’s Manual Chapter 77 on head injury and we covered ICP monitoring before in number 20. This is part of Oh’s Manual Chapter 77 on head injury and we covered ICP monitoring before in number 20. Welcome back to the tasty morsels of critical care podcast.

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Sim Workshop at TTC Copenhagen

The Injectable Orange

Epub 2015 Apr 10. The ED team had just finished an in situ simulation where the focus was on rapid sequence intubation (RSI) in head injury, and using the new intubation checklist. Cheng (2015). doi: 10.1136/bmjopen-2013-003525 Lorello, G, Hicks, C et al. 2016 Mar;18(2):136-42. doi: 10.1017/cem.2015.4. doi: 10.1097/ACO.0000000000000007.

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SGEM#362: Screen Time – Can’t Take My Eyes Off of You – But Should I Post-Concussion?

The Skeptics' Guide to EM

Background: Concussions or mild traumatic brain injury (mTBI) are commonly diagnosed in the Emergency Department (ED). An issue that often comes up with minor head injuries is do we need to get advanced imaging. Most patients recover within the first week; however, 15-30% of patients develop persistent post-concussive symptoms.

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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.