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 Skeptics' Guide to EM

JUNE 17, 2023

The National Heart, Lung, and Blood Institute (NHLBI) released an expert panel report in 2014 with evidence-based guidelines for management of sickle cell disease recommending timely administration of parenteral opioids for VOE. [7] IN fentanyl has been safely used to treat pain in pediatric patients.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

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

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

Don't Forget the Bubbles

JUNE 30, 2023

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. Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. What about head injury , though? This is not good. in the TXA group vs 53.7%

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

EMDocs

JULY 20, 2023

Pre-stroke disability had to be insignificant measured by mRS (modified Rankin Scale) of 0 or 1. 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. Reference: Nogueira RG, et al.,

Stroke 96

Stroke Outcomes Head Injuries Psychiatric 96

Don't Forget the Bubbles

FEBRUARY 5, 2025

In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew? E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. Establish IV access for potential fluid resuscitation.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59