RebelEM

AUGUST 7, 2023

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.

Head Injuries 98

Head Injuries Airway Management Outcomes Burns 98

Emergency Medicine Cases

MARCH 7, 2017

In anticipation of the upcoming EM Cases main episode on Pediatric Polytrauma Dr. Suzanne Beno, Co-director of the Trauma Program at the Hospital for Sick Children in Toronto, tells her Best Case Ever of a child who suffers a severe traumatic head injury with signs of raised intracranial pressure and cerebral herniation.

Pediatrics 52

Pediatrics Head Injuries EMS Hospitals 52

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% Triage tools for detecting cervical spine injury in pediatric trauma patients. High Risk (12.8% Cochrane Database Syst Rev. PMID: 29215711.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

Emergency Medicine Cases

AUGUST 24, 2021

In this Part 1 of our 2-part EM Cases podcast series on Geriatric Trauma, Dr. Barbara Haas, Dr. Camilla Wong and Dr. Bourke Tillman answer questions such as: why are older patients under-triaged to trauma centers and how does that affect outcomes? Just as pediatric patients are not small adults, geriatric patients are not just old adults.

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

Taming the SRU

DECEMBER 8, 2023

r4 case follow-up WITH DR. milligan CC: Found down The case: A young F was found down in a snow bank after a GSW to the head. EMS had reported she had coded en route. She presented with a core temp of 30C and her CT scan did not show a devastating head injury as was expected. She regained pulses with warming on arrival.

Hyperthermia / Hypothermia 88

Hyperthermia / Hypothermia Head Injuries Resuscitation Documentation/Coding 88

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

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.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Emergency Medicine Cases

APRIL 21, 2020

The post EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule appeared first on Emergency Medicine Cases.

EMS 52

EMS EKG/ECG Head Injuries Resuscitation 52

Taming the SRU

FEBRUARY 5, 2024

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. For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

Emergency Medicine Cases

JANUARY 1, 2019

What should your resuscitation targets be in the first 15 minutes for trauma patients with hemorrhagic shock, neurogenic shock, severe head injury? When is a pelvic binder indicated? Is a bedsheet good enough? What are the most common pitfalls in binding the pelvis?

Head Injuries 52

Head Injuries Resuscitation Shock EMS 52

The Skeptics' Guide to EM

JULY 16, 2017

Your first patient was involved in an motor vehicle collision (MVC), and you pulled up the app to review the Canadian CT Head Injury Rule with your resident. The second patient is an elderly woman presenting via EMS after a ground level fall in c-spine precautions.

Emergency Department 52

Emergency Department Head Injuries Academics Hospitals 52

EMergucate

MARCH 1, 2015

The following skull x-ray is from a 3 year old with a history of a head injury 72 hours prior to presentation. He had a fall in the playground with no LOC and one incidence of vomiting post-injury.…

Head Injuries 40

Head Injuries EMS 40

ACEP Now

AUGUST 25, 2023

Am J Hematol.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

The Skeptics' Guide to EM

AUGUST 5, 2017

“The Ottawa Rules are a set of clinical decision rules developed by Dr.

Head Injuries 40

Head Injuries Research Shock Hospitals 40

ACEP Now

JULY 6, 2023

Emergency medicine (EM) has evolved over time and has long passed a crossroads where previously unachievable capabilities should be celebrated and shared. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice. Schonfeld D, et al. Arch Dis Child. 2014;99:427-31.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Emergency Medicine Cases

MAY 9, 2017

Management of the pediatric trauma patient is challenging regardless of where you work.

Pediatrics 52

Pediatrics EMS Hospitals Head Injuries 52

RebelEM

AUGUST 24, 2023

Rezaie, MD (Twitter: @srrezaie ) The post Back in the Game: The Effects of Activity on Youth Concussion Recovery appeared first on REBEL EM - Emergency Medicine Blog.

Pediatrics 92

Pediatrics Outcomes Research Hospitals 92

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. Simpson 1991] No one system universally accepted like adult standard GCS [Simpson 1991, Jain 2022] “There is an evident need for valid standards of paediatric head injury severity, to permit comparisons of different methods of treatment.”

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

MAY 25, 2023

PMID: 36542395 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post Trauma Resuscitation Updates appeared first on REBEL EM - Emergency Medicine Blog. Zone 1 Endovascular Balloon occlusion of the Aorta vs resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock. JAMA Surg 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

The Skeptics' Guide to EM

OCTOBER 17, 2020

Salim is probably better known as the creator and founder of the wonderful knowledge translation project called REBEL EM. It is a free, critical appraisal blog and podcast […] The post SGEM#305: Somebody Get Me A Doctor – But Do I Need TXA by EMS for a TBI? first appeared on The Skeptics Guide to Emergency Medicine.

EMS 52

EMS Head Injuries Outcomes Hospitals 52

RebelEM

FEBRUARY 29, 2024

11 Curiously, VAP in patients with traumatic head injury does not appear to increase mortality, but does increase ventilator time, ICU, and hospital length of stay. Bacterial colonization patterns in mechanically ventilated patients with traumatic and medical head injury. El-Ebiary, M.; Fábregas, N.; Hernández, C.;

CDC 119

CDC Radiology Radiology Head Injuries 119

Emergency Medicine Cases

JUNE 13, 2017

The post Episode 97 EM Literature Review 2016 from EMU & Whistler Conferences appeared first on Emergency Medicine Cases.

EMS 52

EMS Head Injuries Pediatrics Sepsis 52

The Skeptics' Guide to EM

JULY 17, 2018

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.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

EM Curious

APRIL 29, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Listen here @ EM Crit.

Head Injuries 52

Head Injuries EMS Pediatrics CPR 52

The Skeptics' Guide to EM

MAY 30, 2020

Case: A 44-year-old male presents to your level 1 trauma center by EMS after a motor vehicle collision. You suspect abdomen and pelvic trauma and calculate his injury severity score (ISS) to be 22. REBEL EM has looked at using TXA for those conditions plus a few others (we will include a table in the show notes). TXA vs. 19.8%

Head Injuries 52

Head Injuries Academics EMS Stroke 52

ACEP Now

MAY 6, 2023

EMS reports starring and significant damage to the windshield and show you a picture (Figure 1). FIGURE 1: EMS Photo of damaged windshield showing star/spider web pattern from impact of occupant. million ED visits for injuries from motor vehicle accidents (MVAs) in 2020. He is completely amnestic to the events of the accident.

Forensics 52

Forensics Documentation/Coding Head Injuries Fractures 52

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. Brenner M, Bulger EM, Perina DG, Henry S, Kang CS, Rotondo MF, Chang MC, Weireter LJ, Coburn M, Winchell RJ, Stewart RM. 2014 Sep;45(9):1287-95.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

RebelEM

NOVEMBER 20, 2023

Baseline differences in demographics, including variations in heart rate, systolic blood pressure, and head injury, persisted despite randomization, suggesting patients in the REBOA+SC arm had a worse prognosis. PMID: 30566723 Bulger EM, Perina DG, Qasim Z, et al. appeared first on REBEL EM - Emergency Medicine Blog.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

Emergency Medicine Cases

NOVEMBER 12, 2024

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. and many more.

Airway Management 121

Airway Management Resuscitation EMS Head Injuries 121

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