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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. 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%

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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.

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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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Friday Reflection 32: The Trauma of Not Dying Alone

Sensible Medicine

She had tried to convince herself that his slips were just senior moments of an already eccentric academic. Ten years after her husband’s death, MV fell and hit her head. The head injury eventually took her life. Denial preceded that first visit in which we addressed his cognitive state.

Hospice 125
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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#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. You suspect abdomen and pelvic trauma and calculate his injury severity score (ISS) to be 22. It asked if TXA had a mortality benefit in patients with isolated head trauma ( SGEM#270 )? TXA vs. 19.8%

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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