Remove Academics Remove Head Injuries Remove Hospitals
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.

Insiders

Sign Up for our Newsletter

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

article thumbnail

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

RebelEM

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. 3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Included traumatic and nontraumatic brain injuries.

CDC 111
article thumbnail

Friday Reflection 32: The Trauma of Not Dying Alone

Sensible Medicine

  I usually see people who die alone in the hospital. Some of these patients die alone in the hospital, with nobody at their bedside. 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.

Hospice 125
article thumbnail

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.

article thumbnail

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%

article thumbnail

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

The Skeptics' Guide to EM

Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. AEM July 2017. AEM July 2017.