article thumbnail

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.

article thumbnail

SAEM Clinical Images Series: Seeing Double

ALiEM

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
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

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. He is the creator of the excellent #FOAMed project called First10EM.com Case: You are working a very busy shift in the emergency department. AEM July 2017.

article thumbnail

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

ACEP Now

Dr. Gaddis is a “PGY-37” who has stepped away from full-time employment after a 32-year full-time career in academic emergency medicine, and now works a limited number of shifts in a rural Critical Access hospital in Missouri. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

article thumbnail

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. What about head injury , though? Along came the CRASH 3 trial, another huge study looking specifically at TXA in traumatic brain injury. This is not good. in the TXA group vs 53.7%

article thumbnail

Glasgow Coma Scale in Children

Pediatric EM Morsels

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.

article thumbnail

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 119