Remove 2023 Remove Head Injuries Remove Outcomes
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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. The primary outcome was 28-day mortality – TXA improved survival with no increased risk of cerebral clots. What about head injury , though? This is not good.

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Early Vs Delayed Thoracic Endovascular Repair

The Trauma Pro

Although many of these injuries were managed within hours, a growing number were delayed by a few days to improve outcomes. The mortality trends do not appear to be related to injury grade, overall injury severity, or the presence of head injury. 2023 Jun 28;15(6):e41078. doi: 10.7759/cureus.41078.

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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. Banc-Husu, 2023 ] Cholestastis Inflammatory conditions Genetic and Metabolic diseases Pediatric cirrhotic liver disease has many complications. 2023 Feb;43(1):100-116.

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REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

RebelEM

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.

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Best of AAST #1: Aspirin Vs Low Molecular Weight Heparin For VTE Prophylaxis

The Trauma Pro

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 147
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SGEM #429: It’s CT Angio, Hi. I’m the Problem. It’s Me. For Pediatric Oropharyngeal Trauma

The Skeptics' Guide to EM

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.

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SGEM#406: Homeward Bound…after a dose of Intranasal Fentanyl for Sickle Cell Vaso-occlusive Pain

The Skeptics' Guide to EM

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.