The Skeptics' Guide to EM

AUGUST 5, 2023

Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. He is a […] The post SGEM#412: I Can’t Choose…from all the Head Injury Prediction Rules first appeared on The Skeptics Guide to Emergency Medicine. So, should we CT scan children with minor head injury?

Head Injuries 40

Head Injuries Pediatrics Outcomes Fractures 40

The Trauma Pro

SEPTEMBER 12, 2023

Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture. AAST 2023 Plenary Paper 3. N Engl J Med 2023; 388:203-213.

Fractures 113

Fractures Head Injuries Research Outcomes 113

RebelEM

MAY 25, 2023

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

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Don't Forget the Bubbles

OCTOBER 19, 2023

An x-ray confirms a toddler’s fracture. You have four options: Above knee cast Below knee cast Boot Nothing Our approach to managing toddler’s fractures mostly comes from retrospective case studies and only two small prospective case series. Toddler’s fractures heal quickly, with excellent outcomes. But what will you do?

Head Injuries 81

Head Injuries Fractures Outcomes Hospitals 81

Pediatric Education

APRIL 7, 2024

The mother was counseled about how to manage the lip laceration, and was relieved to hear that a nasal fracture was very unlikely in his case. The mother was given head injury instructions and asked to monitor for any additional problems that arose for his nose or mouth too. Epistaxis is common but not for every injury.

Fractures 40

Fractures Head Injuries Pediatrics Wellness 40

Don't Forget the Bubbles

NOVEMBER 11, 2024

One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. A 12-year-old boy presents with a significant head injury following a road traffic accident. Should we aim to prevent fever, or should we cool patients?

Hyperthermia / Hypothermia 116

Hyperthermia / Hypothermia Outcomes Pediatrics Resuscitation 116

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. Corey Heitz is an emergency physician in Roanoke, Virginia.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

Medical Law

NOVEMBER 17, 2022

These injuries can be tremendously harmful and even fatal. The victim of a sidewalk fall may fall backward, landing directly on their head.

Head Injuries 52

Head Injuries Fractures 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

The Canadian CT Head Rule [2] is a clinical decision instrument to help you decide if a patient with a mild head injury requires a CT head. Minor head injury was defined as blunt head trauma, resulting in amnesia, loss of consciousness or an altered mental state (confusion or disorientation) with a GCS score ≥13.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 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. TABLE 2: Symptoms of concussion A thorough physical exam should be performed, focusing on evidence of traumatic injuries and sequela of concussion.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

Emergency Medicine Cases

NOVEMBER 5, 2019

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.

Shock 52

Shock Head Injuries EMS Pediatrics 52

Taming the SRU

FEBRUARY 12, 2024

After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs. CT HEAD Bilateral hemorrhagic contusions, left subdural hematoma with mass effect, scattered subarachnoid hemorrhage, occipital bone fracture and venous thrombosis adjacent to fracture site.

Administration 78

Administration Fractures Anaphylaxis Head Injuries 78

Medical Law

JUNE 13, 2022

Types of Injuries. There are a number of types of injuries that could ensue from slip and fall accidents, including: Bone fractures or breaks. Head injury. Traumatic brain injury. Spinal cord injuries. Internal injuries. Lacerations. Get in Touch Today.

Head Injuries 52

Head Injuries Fractures 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. Fractures and dislocations are indications for full dose factor replacement. Clinical decision tools (e.g

Head Injuries 63

Head Injuries Pediatrics Dislocations CDC 63

ACEP Now

MAY 6, 2023

In the case of an unrestrained driver, the most common locations of impact are the steering wheel, the instrument panel, and the windshield (most commonly resulting in head injury). Unrestrained passengers tend to strike the windshield and dashboard, often sustaining trauma to the head, thorax, and legs.

Forensics 52

Forensics Documentation/Coding Fractures Head Injuries 52

Mind The Bleep

JUNE 18, 2023

environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? With any delirium or BPSD presentation, you should be assessing whether there are any underlying contributory causes (e.g. What can I use in an emergency?

Psychiatric 52

Psychiatric Documentation/Coding Stroke Fractures 52

Rural Doctors Net

AUGUST 30, 2013

Belly needs to be evaluated for bleeding – there was initial concern re; LUQ pain – perhaps a splenic injury? Wrap the pelvis – use a proper binder if there is ANY concern re: a pelvic injury. Pull straight any fractures & splint them. Remember to apply splints to skin! Keep him warm and covered.

Burns 52

Burns Hospitals Wellness Ambulance Services 52

Emergency Medicine Cases

JUNE 13, 2017

Quick and insightful reviews of 17 important adult and pediatric emergency medicine studies from 2016: The PROCAMIO study for stable VT, platelets for head bleeds (PATCH), BP lowering in ICH (ATACH II), antibiotics for abscesses, work up of subarachnoid hemorrhage, dosing IV ketorolac, the PESIT trial, ketamine dosage for sedation in pediatrics, instructions (..)

EMS 52

EMS Head Injuries Pediatrics Sepsis 52

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 63

Documentation/Coding Seizures Psychiatric Wellness 63