Downeast Emergency Medicine

APRIL 26, 2021

2][3] If earlier treatment with TXA is better, would there be benefit in its administration in the prehospital setting? It has not been until recently that the use of TXA in traumatic brain injury (TBI) has been studied. Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Taming the SRU

FEBRUARY 12, 2024

After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs. Thus, she ultimately received reversal with Andexanet alfa with standard dosing after repeat head imaging revealed worsening subdural hematoma and bifrontal contusions with midline shift.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

The Bottom Line

JULY 10, 2024

In patients who have recently taken factor Xa inhibitors with an intracerebral haemorrhage (ICH) did the administration of Andexanet result in better haemostatic efficacy compared to standard care?

Administration 65

Administration Head Injuries 65

RebelEM

FEBRUARY 29, 2024

Discussion In patients with brain injury who required ICU admission and mechanical ventilation, the PROPHY-VAP trial found that early administration of a single dose of ceftriaxone decreased the risk of VAP, exposure to ventilation, exposure to antibiotics, prolonged ICU and hospital stay, and mortality, with no safety concerns.

CDC 111

CDC Radiology Radiology Head Injuries 111

The Skeptics' Guide to EM

OCTOBER 17, 2020

However, patients with significant head injury were excluded in this study and it was unclear of the effect of TXA in this group. The authors reported no statistical superiority of TXA compared to placebo for the primary outcome of head injury-related deaths within 28 days. Reference: Rowell et al.

EMS 52

EMS Head Injuries Outcomes Hospitals 52

ACEP Now

JULY 6, 2023

Now, many PID patients are treated and released after ED administration of appropriate antibiotics to eradicate possible infection by Neisseria gonorrhea and Chlamydia trachomatis , often with added treatment for anaerobic microbes. Comparison of the Canadian CT head rule and the New Orleans criteria in patients with minor head injury.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

EMDocs

JULY 20, 2023

Presentation consistent with diagnosis of an acute ischemic stroke, with the patient meeting criteria of: Failing IV t-PA therapy; OR Patient is contraindicated for IV t-PA administration. Exclusion criteria: Medical history of severe head injury with lasting neurologic deficit in past 90 days.

Stroke 92

Stroke Outcomes Head Injuries Psychiatric 92

ACEP Now

AUGUST 25, 2023

The National Heart, Lung, and Blood Institute released an expert panel report in 2014 with evidence-based guidelines for management of SCD recommending timely administration of parenteral opioids for VOE.2 Two interesting findings were time to parenteral opioid administration and total dose of opioid morphine equivalents. Am J Hematol.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

The Trauma Pro

DECEMBER 20, 2024

I started writing about them more than five years ago and was initially pessimistic about their safety profile in patients with head injuries. The reversal effect of Andexxa begins to wear off two hours after administration and is gone by four hours. Unfortunately, it’s much more complicated than that.

Head Injuries 113

Head Injuries Administration Hospitals 113

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64