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.

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. Bottom line: This is an intriguing abstract, pointing me to the original paper published in NEJM. This multi-center study was performed in conjunction with the research coordinating center at Johns Hopkins, which designs some top-notch research.

Fractures 113

Fractures Head Injuries Research Outcomes 113

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

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

ACEP Now

AUGUST 25, 2023

Primary Outcome: Discharged home from the ED Secondary Outcomes: There were several secondary outcomes. Another interesting secondary outcome that could confound the results is that children who received IN fentanyl received higher overall total parenteral opioid morphine equivalents. Accessed August 8, 2023.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

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. Secondary outcome analysis showed there was no difference in length of hospital stay, ICU stay, or duration of oxygen therapy. days compared to 1.50

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

RebelEM

AUGUST 24, 2023

Background: Sports-related concussions are among the most common injuries in children and adolescents, affecting millions of youth athletes annually. Historical practice recommends rest to prevent adverse outcomes; however, evidence suggests strict rest is harmful. 2023 May 1;151(5):e2022059592. Pediatrics. PMID: 37073681.

Pediatrics 95

Pediatrics Outcomes Research Hospitals 95

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. Outcome: Primary Outcome: All-cause mortality at 90 days.

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. The primary outcome measure was chest drain failure, i.e., retained haemothorax requiring a secondary interventional procedure. Back in ED with Ranulf, and pack two has gone through. Brie-liiant!

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139