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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. 2017 Mar;24(3):308-314. PECARN Works too!

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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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Trauma Resuscitation Updates

RebelEM

Ann Emerg Med 2017 [6] This was a retrospective database review of 7521 traumatic brain injury patients SBP target ≥90mmHg resulted in a mortality of 7.8% Association of out-of- hospital hypotension depth and duration with traumatic brain injury mortality. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew? E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. In addition, consider if there are any signs of injury with ENT, neurological or respiratory symptoms.

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SGEM#185: Every EHR Wants to “Rule” the World

The Skeptics' Guide to EM

[display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. AEM July 2017. display_podcast] Date: July 11th, 2017 Reference: Bookman K et al. AEM July 2017. Your first patient was involved in an motor vehicle collision (MVC), and you pulled up the app to review the Canadian CT Head Injury Rule with your resident.

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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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SGEM Xtra: Ian Stiell – Legend of Emergency Medicine

The Skeptics' Guide to EM

[display_podcast] Date: July 13th, 2017 Guest Skeptic: Dr. Ian Stiell is Professor, Department of Emergency Medicine, University of Ottawa. display_podcast] Date: July 13th, 2017 Guest Skeptic: Dr. Ian Stiell is Professor, Department of Emergency Medicine, University of Ottawa.