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We last pondered this in 2011 Morsel , just a couple years after PECARN headinjury data was published. So, it would seem that now is an opportune time for a Rebaked Morsel on Closed HeadInjury and the application of PECARN for children less than 3 months of age. 2017 Mar;24(3):308-314. PECARN Works too!
We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed headinjuries 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 headinjury.
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%
In the context of a child with a headinjury- 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.
[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 HeadInjury Rule with your resident.
CRASH-3 TRIAL COLLABORATORS This international, multi-center, randomized, placebo-controlled trial looked at the effects of TXA on headinjury-related death, disability, and adverse events in adult patients with TBI. The primary outcome was headinjury-related death in-hospital within 28 days of injury.
[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.
Hicks (2017). Simulcast Journal Club Podcast March 2017 [link] Breakout Group 3 – Debriefing. The ED team had just finished an in situ simulation where the focus was on rapid sequence intubation (RSI) in headinjury, and using the new intubation checklist. link] Petrosoniak, A., Auerbach, A. Wong and C. Which way is best?
After rescue, she had an apparent headinjury 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. J Thromb Haemost. Cuker A, et al.
Whilst you were busy managing headinjuries and drownings, Ranulf had been out with a group of boys from school this evening. 2017 Dec;83(6):1136-1141. He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed.
1) Assessment History of Presenting Complaint: Mechanism of Injury: Determine how the injury occurred (e.g., Enquire about any associated trauma such as headinjuries and fractures. Time of Injury : Note when the laceration happened, as this influences infection risk and treatment decisions. Pretibial lacerations.
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