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

Pediatric EM Morsels

MAY 12, 2023

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. So, it would seem that now is an opportune time for a Rebaked Morsel on Closed Head Injury and the application of PECARN for children less than 3 months of age.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

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. in a 2023 systematic review and meta-analysis. 2023; 173:158-166.e2.

Hyperthermia / Hypothermia 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

The Trauma Pro

SEPTEMBER 12, 2023

AAST 2023 Plenary Paper 3. Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture. N Engl J Med 2023; 388:203-213.

Fractures 113

Fractures Head Injuries Research Outcomes 113

EMDocs

MARCH 2, 2024

4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% This is considered an open fracture. Patients with open skull fractures should be evaluated by neurosurgery and admitted for observation.

EMS 119

EMS Fractures Seizures Head Injuries 119

RebelEM

MAY 25, 2023

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 Intensive Care Med 2020. [13] PMID: 36942533 Schroll R et al. J Trauma Acute Care Surg 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

The Skeptics' Guide to EM

AUGUST 5, 2023

Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. Date: July 10, 2023 Guest Skeptic: Dr. Joe Mullally is a paediatric trainee in the Welsh paediatric training program and interested in Paediatric Emergency Medicine. Annals of Emergency Medicine 2014.

Head Injuries 40

Head Injuries Pediatrics Fractures Outcomes 40