Remove 2019 Remove Head Injuries Remove Stroke
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TXA in head injuries

Don't Forget the Bubbles

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. Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. What about head injury , though? This is not good. in the TXA group vs 53.7%

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

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 ]. MI or stroke). Bossers SM, Loer SA, Bloemers FW, et al.

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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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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

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.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. 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. Westendorp, W. Vermeij, J.

CDC 113
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SGEM#293: CRASH in the US, CRASH in the US, CRASH-2 in the USA

The Skeptics' Guide to EM

It seems to work for epistaxis ( SGEM#53 and SGEM#210 ), failed to demonstrate a decrease in all-cause mortality in post-partum hemorrhage ( SGEM#214 ), and did not result in an improved neurologic outcome in hemorrhagic strokes ( SGEM#236 ). It asked if TXA had a mortality benefit in patients with isolated head trauma ( SGEM#270 )?