Don't Forget the Bubbles

JUNE 30, 2023

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 bottom line was that TXA, when given within 3 hours of injury, reduced mortality and didn’t cause harm, so it’s been widely adopted into trauma management. What about head injury , though?

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Pediatric EM Morsels

JULY 21, 2023

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. Predicting outcome in individual patients after severe head injury.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

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. Establish IV access for potential fluid resuscitation.

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

ALiEM

MARCH 22, 2024

The two main causes of internuclear ophthalmoplegia are demyelination of the medial longitudinal fasciculus (MLF) from multiple sclerosis (MS) and ischemic cranial nerve damage from stroke. Usually, MS is seen in younger patients where both eyes are affected whereas strokes occur more often in older patients and only one eye is affected.

Stroke 67

Stroke Urgent Care Head Injuries Emergency Department 67

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

ACEP Now

JULY 6, 2023

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units. In 2023 we must move beyond that title. Accessed June 10, 2023.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52