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

Major Trauma – Injuries by Assault

Don't Forget the Bubbles

E.g. burns, neurosurgery, interventional radiology. 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.

Insiders

Sign Up for our Newsletter

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

article thumbnail

REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

RebelEM

The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge. Traditional RSI entails preoxygenation followed by.

article thumbnail

CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. He may need large amounts of fluid down the track as part of his burns management – we’ll calculate this a bit later. Airway compromised by burns. Keep him warm and covered.

Burns 52
article thumbnail

2086 The value of emergency care data set (ECDS) presentation codes for predicting mortality and inpatient admission

Emergency Medicine Journal

Abstract 2086 Table 1 Presentations Total first presentation over 2021 Total deaths (within 30 days ) Admission Admission (%) Percentage of deaths [CI ] INJURY OF SHOULDER/ARM/ELBOW/WRIST/HAND 8416 4 424 5 0.05[0.018 0.018 , 0.12] INJURY OF HIP/LEG/KNEE/ANKLE/FOOT 7427 15 653 8.8 HEAD INJURY 3493 22 382 10.9 0.65 , 2.7]

article thumbnail

Top Cal/OSHA Violations in Healthcare—And How to Avoid Them 

American Medical Compliance

These accidents can lead to fractures, head injuries, and lost workdays. Improper handling of these substances can lead to burns, respiratory issues, or even long-term health conditions.

PPE 103
article thumbnail

Grand Rounds Recap 5.3.23

Taming the SRU

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