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 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

He is not on anticoagulation and there is no history of seizures. Background: Head trauma is an exceedingly common presenting complaint in the emergency department, with approximately 2.5 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.

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

Don't Forget the Bubbles

JUNE 30, 2023

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. No, I don’t give TXA to kids with isolated head injuries We want to stop any clot breakdown to try and slow any potential bleeding. This is not good.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

EMDocs

MARCH 2, 2024

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. Patients with open skull fractures should be evaluated by neurosurgery and admitted for observation.

EMS 119

EMS Fractures Seizures Head Injuries 119

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, HAJDU Mild TBI’s & Concussions in the Emergency Department TBI’s are relatively common >3 million TBI’s in the US annually 2.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64