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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. What about head injury , though? Along came the CRASH 3 trial, another huge study looking specifically at TXA in traumatic brain injury. This is not good. in the TXA group vs 53.7%

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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.

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Trauma Resuscitation Updates

RebelEM

ABC Score: Penetrating Mechanism SBP ≤90mmHg HR ≥120 BPM Positive FAST Abdominal Views If ≥2 present, consider MTP RABT Score Revised Assessment of Bleeding and Transfusion Score Penetrating Injury Positive FAST Shock Index >1.0 of injured limbs Tourniquet patients were less likely to arrive in shock compared to no torniquets (13.0%

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

According to the latest figures (2022), there were approximately 6,000 recorded offences where a child was a victim of violence, including physical assault, sexual abuse, and homicide. In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew?

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Acute Esophageal Variceal Bleeding in Children

Pediatric EM Morsels

Maybe injuries to the spleen or kidney come to mind. Perhaps thoughts of pelvic injuries or severe head injury dominate our considerations. Epub 2022 Dec 26. When we think of severe hemorrhage in children, we typically think about trauma. References: Banc-Husu AM, Shiau H, Dike P, Shneider BL. Semin Liver Dis.

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Unwrapping PEM excellence at IAEM23

Don't Forget the Bubbles

In 2022, a US team published a study looking at just this. The primary survey confirms isolated head injury – Bee’s drowsy, and a formal GCS is 12 – E3, V4, M5. But what about the evidence of TXA in isolated head injury? of patients in the TXA group died from their head injuries, compared to 19.8%

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The Root Problem: How Trees Make Sidewalks Dangerous

Medical Law

These injuries can be tremendously harmful and even fatal. The victim of a sidewalk fall may fall backward, landing directly on their head. Call (805) 962-2022 to schedule your FREE consultation today. The post The Root Problem: How Trees Make Sidewalks Dangerous first appeared on California Injury Blog.