RebelEM

MAY 25, 2023

Intensive Care Med 2020. [13] Not every institution will have TEG/ROTEM and more evidence is needed to support or refute its use 4F-PCC Bouzat P et al. Efficacy and Safety of Early Administration of 4-Factor Prothrombin Complex Concentrate in Patients with Trauma at Risk of Massive Transfusion: The PROCOAG Randomized Clinical Trial.

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

Don't Forget the Bubbles

FEBRUARY 5, 2025

In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew? E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. In addition, consider if there are any signs of injury with ENT, neurological or respiratory symptoms.

Fluid Resuscitation 59

Fluid Resuscitation Domestic Violence Head Injuries Sexual Assault 59

The Skeptics' Guide to EM

JULY 29, 2023

Date: July 21, 2023 Reference: McDonald et al. AEM July 2023 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: July 21, 2023 Reference: McDonald et al. Background: We have covered head injuries including concussions multiple times on the SGEM.

Head Injuries 98

Head Injuries EMS Research Emergency Department 98

RebelEM

AUGUST 7, 2023

The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge. Anesth Analg 2023. Anesth Analg 2023.

Head Injuries 98

Head Injuries Airway Management Outcomes Burns 98

The Trauma Pro

SEPTEMBER 12, 2023

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

Fractures 113

Fractures Head Injuries Research Outcomes 113

The Skeptics' Guide to EM

JUNE 17, 2023

Date: June 15, 2023 Reference: Rees CA et al. Date: June 15, 2023 Reference: Rees CA et al. American Journal of Hematology Jan 2023 Guest Skeptic: Dr. Amy Drendel is a pediatric emergency medicine physician and physician scientist at Children’s Wisconsin.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

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% There is no evidence that steroids (D) are beneficial in head injury. Brain Injury Medicine, Principles And Practice. 2023, January).

EMS 119

EMS Fractures Seizures Head Injuries 119

Don't Forget the Bubbles

OCTOBER 19, 2023

Dani gave this talk at the Irish Association of Emergency Medicine Annual Scientific Conference in October 2023 Once upon a time, there were two beautiful people, Barbie and Ken. The primary survey confirms isolated head injury – Bee’s drowsy, and a formal GCS is 12 – E3, V4, M5. As it so happens, you’re on shift again.

Head Injuries 81

Head Injuries Fractures Outcomes Hospitals 81

The Skeptics' Guide to EM

FEBRUARY 3, 2024

March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University. March 2023 * Population: Patients <18 years old with trauma to the oropharynx. Reference: Curry SD, et al. Laryngoscope.

Pediatrics 68

Pediatrics Radiology Radiology Head Injuries 68

ACEP Now

AUGUST 25, 2023

Accessed August 8, 2023. Accessed August 8, 2023. Am J Hematol. An action plan for pain in Canada. Health Canada website. link] Published May 2021. National Heart Lung, and Blood Institute. Evidence-based management of sickle cell disease: Expert panel report, 2014. National Institutes of Health website. link] Published 2014.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

ALiEM

MARCH 22, 2024

Unilateral Internuclear Ophthalmoplegia Following Minor Head Injury. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. References Kim SS, Lee MH, Ji C. Korean J Neurotrauma.

Stroke 67

Stroke Urgent Care Head Injuries Emergency Department 67

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. 5, 2023, pp. 4, 2020, pp.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

RebelEM

AUGUST 24, 2023

2023 May 1;151(5):e2022059592. Br J Sports Med 2023:bjsports-2022-106676. 2023 May 1;151(5):e2022059592. 2023 May 1;151(5):e2022059592. 2 The authors of this paper sought to “better understand the effects of activity after a concussion in youth.” Activity and Recovery Among Youth With Concussion: A Meta-analysis.

Pediatrics 95

Pediatrics Outcomes Research Hospitals 95

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. This post is part of the PEM Adventure at NEPTUNE 2023, hosted by Dani, Kat, Costas and Sarah. 2023 Jun;35(3):412-419. Brie-liiant! Emerg Med Australas. Teague WJ, Amarakone KV, Quinn N.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

ACEP Now

JULY 6, 2023

In 2023 we must move beyond that title. Accessed June 10, 2023. Accessed June 10, 2023. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice. Comparison of the Canadian CT head rule and the New Orleans criteria in patients with minor head injury.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

ACEP Now

MAY 6, 2023

In the case of an unrestrained driver, the most common locations of impact are the steering wheel, the instrument panel, and the windshield (most commonly resulting in head injury). Unrestrained passengers tend to strike the windshield and dashboard, often sustaining trauma to the head, thorax, and legs. Accessed April 3, 2023.

Forensics 52

Forensics Documentation/Coding Head Injuries Fractures 52

RebelEM

NOVEMBER 20, 2023

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. 2023;e2320850. 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

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. Published 2023 Feb 23. Front Neurosci.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

EM Ottawa

NOVEMBER 29, 2024

2023 Dec 3;195(47):E1614-E1621. specificity for detecting significant […] The post Derivation of the Falls Decision Rule to exclude intracranial bleeding without head CT in older adults who have fallen appeared first on EMOttawa Blog. Methodology: 3.5/5 5 Usefulness: 3.5/5 de Wit K, et al. doi: 10.1503/cmaj.230634.

Head Injuries 40

Head Injuries 40