Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain
ACEP Now
AUGUST 25, 2023
Am J Hematol.
EMS Head Injuries Stroke 
97 
Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver
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.
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Glasgow Coma Scale in Children
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.”
The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury
RebelEM
FEBRUARY 29, 2024
3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. 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. Westendorp, W. Vermeij, J.
SGEM#293: CRASH in the US, CRASH in the US, CRASH-2 in the USA
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%
Grand Rounds Recap 5.3.23
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
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