Remove Head Injuries Remove Hospitals Remove Hyperthermia / Hypothermia
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Grand Rounds Recap 11.15.23

Taming the SRU

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. Her labs and imaging that did not show signs of significant hypoxia/ischemia. It is possible she was just severely hypothermic. r2 clinical pathologic conference WITH DRs.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

All hospitals will have different makeups of trauma teams and possibly different levels of activation) Do I need any additional expertise outside of who would typically be in the trauma team? In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew? Do I need a trauma team activation?

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Penetrating chest trauma

Don't Forget the Bubbles

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. However, patients in the 1:1 group had the lowest 24-hour mortality ( 14% vs 18% vs 22% vs 24% ; p = 0.01), and in-hospital mortality ( 32% vs 36% vs 40% vs 44% ; p = 0.01).

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Managing raised intracranial pressure in severe traumatic brain injury – the basics

Don't Forget the Bubbles

It occurs when a mechanical force to the head injures the brain. This can be from the brain hitting the skull, shear forces from sudden acceleration and deceleration, or direct injury at the point of impact. The severity of head injuries can be classified according to the GCS.

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2086 The value of emergency care data set (ECDS) presentation codes for predicting mortality and inpatient admission

Emergency Medicine Journal

Aims and Objectives Early identification of patients at higher risk of death and hospital admission is an important problem in emergency departments. The mortality risk and need for hospital admission associated with the different presenting complaints in a standardised national data set has not been previously reported. 0.23 , 6.9]

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CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

James and Casey are used to this kind of stuff (although Casey’s mostly in-hospital and has even got a CT scanner…James is used to working out of a tent wearing just rabbit skins). Allocate someone to activate ambulance, other clinical personnel, notify local hospital and give retrieval services a head’s up.

Burns 52
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Grand Rounds Recap 5.3.23

Taming the SRU

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