Don't Forget the Bubbles

JUNE 30, 2023

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. 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. This is not good.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Don't Forget the Bubbles

NOVEMBER 11, 2024

One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. A 12-year-old boy presents with a significant head injury following a road traffic accident. The injury is not uniform across the brain. 2019 Apr;20(4):404].

Hyperthermia / Hypothermia 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

RebelEM

MAY 25, 2023

vs 3U) but no difference in mortality (Study not powered for this outcome) Clinical Take Home Point: The use of vasopressors is controversial and requires a nuanced approach SUMMARY OF MINIMIZING IATROGENIC INJURY RESTORE PERFUSION VOLUME REPLACEMENT Blood Products >>> Crystalloids Holcomb JB et al.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Date: September 10th, 2019 Reference: Fournier et al. Adapting the Canadian CT head rule age criteria for mild traumatic brain injury. Emergency Medicine Journal 2019. Date: September 10th, 2019 Reference: Fournier et al. Adapting the Canadian CT head rule age criteria for mild traumatic brain injury.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Taming the SRU

FEBRUARY 5, 2024

Several definitions have been set forth for this common injury, with perhaps the most well accepted definition being introduced by the Centers for Disease Control and World Health Organization. TABLE 2: Symptoms of concussion A thorough physical exam should be performed, focusing on evidence of traumatic injuries and sequela of concussion.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

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. CT HEAD Bilateral hemorrhagic contusions, left subdural hematoma with mass effect, scattered subarachnoid hemorrhage, occipital bone fracture and venous thrombosis adjacent to fracture site.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

EMDocs

JULY 11, 2023

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. Fractures and dislocations are indications for full dose factor replacement. Published 2019. Clinical decision tools (e.g

Head Injuries 75

Head Injuries Pediatrics Dislocations CDC 75