The Skeptics' Guide to EM

JULY 29, 2023

Background: We have covered head injuries including concussions multiple times on the SGEM. This has included looking at the Canadian CT Head Rules/Tools ( SGEM#106 , SGEM#266 , and SGEM#272 ). Another core element of emergency department (ED) and pre-hospital care is the assessment for potential spinal injuries [1,2].

Head Injuries 80

Head Injuries EMS Research Emergency Department 80

Emergency Medicine Journal

NOVEMBER 28, 2023

Results and Conclusion Since go–live (August 2022) electronic resources have become the standard first offer for families 44 core electronic ED resources cover safety net advice for common conditions, health promotion and signposting links to support health inequalities Sharing options: scanned via QR code (see figure 1 ), sent via text/SMS or (..)

Emergency Department 40

Emergency Department Head Injuries Documentation/Coding 40

The Skeptics' Guide to EM

MAY 22, 2021

Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine and an Associate Editor for the NEJM Journal Watch Emergency Medicine. A randomized trial comparing prescribed light exercise to standard management for emergency department patients with acute mild traumatic brain injury.

Head Injuries 52

Head Injuries Research Emergency Department Pediatrics 52

The Skeptics' Guide to EM

JULY 16, 2017

Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. AEM July 2017. AEM July 2017.

Emergency Department 52

Emergency Department Head Injuries Academics Hospitals 52

ALiEM

MARCH 22, 2024

A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. Unilateral Internuclear Ophthalmoplegia Following Minor Head Injury. References Kim SS, Lee MH, Ji C. Korean J Neurotrauma. 2022 Oct 24;18(2):329-334.

Stroke 67

Stroke Urgent Care Head Injuries Emergency Department 67

The Skeptics' Guide to EM

FEBRUARY 3, 2024

Case: You’re working the morning shift in the emergency department (ED) when you encounter a 3-year-old boy and his family. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University.

Pediatrics 65

Pediatrics Radiology Radiology Head Injuries 65

The Skeptics' Guide to EM

OCTOBER 26, 2019

Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: A 21-year-old comes into the emergency department after being knocked […] The post SGEM#272: Take the Money and Run without Getting a CT first appeared on The Skeptics Guide to Emergency Medicine.

Head Injuries 52

Head Injuries Emergency Department Research Wellness 52

Mind The Bleep

JANUARY 28, 2025

The prevalence of these injuries is estimated at 5.2 per 1000 emergency department attendances in the UK (1). 1) Assessment History of Presenting Complaint: Mechanism of Injury: Determine how the injury occurred (e.g., Enquire about any associated trauma such as head injuries and fractures.

Documentation/Coding 52

Documentation/Coding Head Injuries Fractures Emergency Department 52

EMDocs

JULY 11, 2023

PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. The post emDOCs Podcast – Episode 81: Hemophilia appeared first on emDOCs.net - Emergency Medicine Education. Clinical decision tools (e.g

Head Injuries 69

Head Injuries Pediatrics Dislocations CDC 69

Don't Forget the Bubbles

AUGUST 12, 2024

It occurs when a mechanical force to the head injures the brain. This can be from the brain hitting the skull, shear forces from sudden acceleration and deceleration, or direct injury at the point of impact. The severity of head injuries can be classified according to the GCS.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Emergency Medicine Journal

NOVEMBER 28, 2023

Many people access urgent care via the emergency department (ED) resulting in poor patient experience, delays to care and duplication, also causing overcrowding, leading to harm. The data identified pathways with largest impact potential - chest pain, dyspnoea and falls/frailty/head injury.

Urgent Care 40

Urgent Care Head Injuries Emergency Department Hospitals 40

The Skeptics' Guide to EM

MARCH 12, 2022

She is an emergency physician at Mount Sinai Hospital and a Clinician Scientist and the Deputy Director of the Schwartz-Reisman Emergency Medicine Institute. Case: An 18-year-old female presents to the emergency department (ED) after falling off a moving snowmobile and hitting her head on the ground.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

ACEP Now

JULY 6, 2023

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Taming the SRU

FEBRUARY 12, 2024

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs. The patient is agitated on a backboard with C-collar in place.

Administration 79

Administration Fractures Anaphylaxis Head Injuries 79

ACEP Now

MAY 6, 2023

Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which two people were ejected and pronounced dead at the scene. Unrestrained passengers tend to strike the windshield and dashboard, often sustaining trauma to the head, thorax, and legs.

Forensics 52

Forensics Documentation/Coding Head Injuries Fractures 52

Pediatric Emergency Playbook

JANUARY 1, 2016

Abusive head injury is the most common cause of death from child abuse. Up to 30% of infants with abusive head injury may be misdiagnosed on initial presentation. Accuracy of a screening instrument to identify potential child abuse in emergency departments. J Emerg Med. Louwers et al.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

RebelEM

NOVEMBER 20, 2023

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. 2 Despite these recommendations there are no randomized clinical trials to help guide practice until now.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Early identification of patients at higher risk of death and hospital admission is an important problem in emergency departments. 0.018 , 0.12] INJURY OF HIP/LEG/KNEE/ANKLE/FOOT 7427 15 653 8.8 HEAD INJURY 3493 22 382 10.9 FACIAL INJURY 1555 1 128 8.2 ABDOMINAL PAIN 5629 48 2473 43.9

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

Pediatric EM Morsels

JULY 21, 2023

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.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Don't Forget the Bubbles

OCTOBER 19, 2023

Over 1,500 children in EDs, aged 1 to 4 with acute hypoxemic respiratory failure needing hospital admission, across 14 emergency departments in Australia and New Zealand were randomly allocated 1:1 to high-flow oxygen therapy OR standard oxygen therapy (approximately 750 children in each group). days compared to 1.50

Head Injuries 81

Head Injuries Fractures Outcomes Hospitals 81

Pediatric EM Morsels

JULY 5, 2024

risk of C Spine injury) Altered Mental Status (GCS 3-8 or U on AVPU) Abnormal ABCs on exam Focal Neurologic Deficits (paresthesia, numbness, weakness) Not Negligible Risk (2.8% PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study.

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

Don't Forget the Bubbles

JUNE 30, 2023

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. Interim results presented earlier this year show that REBOA performed within the Emergency Department increased mortality. c) Or, do both?

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

ACEP Now

AUGUST 25, 2023

Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain Case A 15-year-old female with sickle cell disease (SCD) presents to your emergency department (ED) with a vaso-occlusive pain episode (VOE) of her legs and back. She has a history of similar episodes. There are no other concerning aspects to her examination. Am J Hematol.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

PHEM Cast

MARCH 3, 2019

Emergency Medicine Journal. Ketamine-propofol combination (ketofol) versus propofol alone for emergency department procedural sedation and analgesia: a randomized double-blind trial. Ann Emerg Med. Ketamine for paediatric sedation/analgesia in the emergency department. Emerg Med J. Emerg Med J.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52

The Skeptics' Guide to EM

APRIL 9, 2022

AEM April 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. AEM April 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: April 7th, 2022 Reference: Wong et al.

Head Injuries 52

Head Injuries Emergency Department Seizures Stroke 52

Taming the SRU

JUNE 6, 2023

million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

EM Ottawa

JANUARY 20, 2025

Question and Methods:This prospective multicenter cohort study sought to validate the PECARN intra-abdominal injury and traumatic brain injury rules in order to help reduce the inappropriate use of CTs in the emergency department.

Emergency Department 52

Emergency Department Head Injuries Pediatrics 52