Remove EMS Remove Fractures Remove Head Injuries
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Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel

Pediatric EM Morsels

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. So, it would seem that now is an opportune time for a Rebaked Morsel on Closed Head Injury and the application of PECARN for children less than 3 months of age.

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EM@3AM: Pneumocephalus

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% This is considered an open fracture.

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EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome

Emergency Medicine Cases

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

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Trauma Resuscitation Updates

RebelEM

ABC Score: Penetrating Mechanism SBP ≤90mmHg HR ≥120 BPM Positive FAST Abdominal Views If ≥2 present, consider MTP RABT Score Revised Assessment of Bleeding and Transfusion Score Penetrating Injury Positive FAST Shock Index >1.0 JAMA Surg 2022.

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Mastering Minor Care: Concussion

Taming the SRU

Several definitions have been set forth for this common injury, with perhaps the most well accepted definition being introduced by the Centers for Disease Control and World Health Organization. TABLE 2: Symptoms of concussion A thorough physical exam should be performed, focusing on evidence of traumatic injuries and sequela of concussion.

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SGEM#266: Old Man Take a Look at the Canadian CT Head Rule I’m a Lot Like You Were

The Skeptics' Guide to EM

Two of the most commonly used rules include the Canadian CT Head Rule (CCHR) and the New Orleans Criteria (NOC); other rules include NEXUS-II , the Neurotraumatology Committee of the World Federation of Neurosurgical Societies, the National Institute of Clinical Excellence guidelines, and the Scandinavian Neurotrauma Committee guideline.

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SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument

The Skeptics' Guide to EM

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. She hit a rock, and went over the bars, striking her head on a small tree as she fell.