RebelEM

FEBRUARY 29, 2024

11 Curiously, VAP in patients with traumatic head injury does not appear to increase mortality, but does increase ventilator time, ICU, and hospital length of stay. N Engl J Med 2019 , 381 (19), 1831-1842. Bacterial colonization patterns in mechanically ventilated patients with traumatic and medical head injury.

CDC 122

CDC Radiology Radiology Head Injuries 122

The Skeptics' Guide to EM

OCTOBER 26, 2019

Date: October 22nd, 2019 Reference: Iyengar R et al. The Effect of Financial Incentives on Patient Decisions to Undergo Low-value Head Computed Tomography Scans. AEM October 2019. Date: October 22nd, 2019 Reference: Iyengar R et al. AEM October 2019. AEM October 2019. Reference: Iyengar R et al.

Head Injuries 52

Head Injuries Emergency Department Research Wellness 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. For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm. 3, 2019, pp. 4, 2020, pp.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

The Skeptics' Guide to EM

OCTOBER 17, 2020

However, patients with significant head injury were excluded in this study and it was unclear of the effect of TXA in this group. Fast forward to October 2019, when CRASH-3 was published. Anand Swaminathan and I covered that classic paper on SGEM#80. TXA has become standard practice in many settings as a result of this data.

EMS 52

EMS Head Injuries Outcomes Hospitals 52

Downeast Emergency Medicine

APRIL 26, 2021

Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities on patients with acute traumatic brain injury (CRASH-3): a randomized, placebo-controlled trial. Lancet 2019; Vol 394, Iss 10210, P 1713-1723[ Full Text ]. Bossers SM, Loer SA, Bloemers FW, et al.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

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. Published 2019. Decision rules and hemophilia Have a low threshold for imaging based on the history and exam. Clinical decision tools (e.g

Head Injuries 75

Head Injuries Pediatrics Dislocations CDC 75

The Skeptics' Guide to EM

MAY 30, 2020

Lancet 2010 ) CRASH-3 was a well-designed, large, multi-centred randomized placebo controlled trial published in October 2019 ( The Lancet ). It asked if TXA had a mortality benefit in patients with isolated head trauma ( SGEM#270 )? TXA vs. 19.8% placebo, RR 0.94 [95% CI 0.86 to 1.02]).

Head Injuries 52

Head Injuries Academics EMS Stroke 52

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. Thromb Res. Jun; 127(6): 497-504.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

Don't Forget the Bubbles

AUGUST 12, 2024

It occurs when a mechanical force to the head injures the brain. This can be from the brain hitting the skull, shear forces from sudden acceleration and deceleration, or direct injury at the point of impact. The severity of head injuries can be classified according to the GCS. 2019 Apr;20(4):404]. Doi:10.1097/PCC.0000000000001735

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

RebelEM

NOVEMBER 20, 2023

Baseline differences in demographics, including variations in heart rate, systolic blood pressure, and head injury, persisted despite randomization, suggesting patients in the REBOA+SC arm had a worse prognosis. Published 2019 Sep 20. Trials stopped early are at risk of overestimating the potential effect of the intervention.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

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. 2019 Aug;31(4):683-687. 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.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Emergency Medicine Journal

FEBRUARY 20, 2024

We aimed to identify variables that are associated with adverse outcomes in older patients admitted to a trauma centre for an isolated orthopaedic injury. Conclusion We identified eight predictors of adverse outcomes in patients >64 years of age admitted to a trauma centre for orthopaedic injury.

Outcomes 40

Outcomes Head Injuries 40

The Trauma Pro

DECEMBER 20, 2024

I started writing about them more than five years ago and was initially pessimistic about their safety profile in patients with head injuries. Effective October 2019, Medicare agreed to reimburse a hospital about $18,000 for Andexxa over and above the DRG for the patient’s care. NEJM 380(14):1326-1335, 2019.

Head Injuries 113

Head Injuries Administration Hospitals 113