Remove Academics Remove EMS Remove Head Injuries
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Glasgow Coma Scale in Children

Pediatric EM Morsels

We had just received a young child from EMS who was post-ictal with decreased mentation. Simpson 1991] No one system universally accepted like adult standard GCS [Simpson 1991, Jain 2022] “There is an evident need for valid standards of paediatric head injury severity, to permit comparisons of different methods of treatment.”

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SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument

The Skeptics' Guide to EM

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. He is also the CME editor for Academic Emergency Medicine Case: You’re working in a small rural emergency department when a seven-year-old girl comes in by EMS with a head injury.

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SGEM#293: CRASH in the US, CRASH in the US, CRASH-2 in the USA

The Skeptics' Guide to EM

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Case: A 44-year-old male presents to your level 1 trauma center by EMS after a motor vehicle collision. You suspect abdomen and pelvic trauma and calculate his injury severity score (ISS) to be 22.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

Limited to academic hospitals in one country, which may call generalizability into question. 11 Curiously, VAP in patients with traumatic head injury does not appear to increase mortality, but does increase ventilator time, ICU, and hospital length of stay. Mortality is variable by study, but ranges from 16-70%. El-Ebiary, M.;

CDC 111
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SGEM#185: Every EHR Wants to “Rule” the World

The Skeptics' Guide to EM

Your first patient was involved in an motor vehicle collision (MVC), and you pulled up the app to review the Canadian CT Head Injury Rule with your resident. The second patient is an elderly woman presenting via EMS after a ground level fall in c-spine precautions. AEM July 2017.

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Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver

ACEP Now

Emergency medicine (EM) has evolved over time and has long passed a crossroads where previously unachievable capabilities should be celebrated and shared. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice. Schonfeld D, et al. Arch Dis Child. 2014;99:427-31.

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Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain

ACEP Now

The differences observed in this study make it uncertain if these findings can be generalized outside of these academic settings. Am J Hematol. Am J Hematol. Further, when the analysis includes only sites that administer IN fentanyl, the association is even stronger.