Remove Head Injuries Remove Hospitals Remove Stroke
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TXA in head injuries

Don't Forget the Bubbles

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. Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. What about head injury , though? This is not good. in the TXA group vs 53.7%

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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Predicting outcome in individual patients after severe head injury.

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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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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. 3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. 4, 8 Paper: Dahyot-Fizelier, C., 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 111
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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Four level-1 US trauma centers participated in the study where the inclusion criteria were trauma patients who were within 2 hours of their injury and were transported to the trauma center from either the field or another hospital. MI or stroke). This study found that the 30-day mortality was 8.1% in the TXA group and 9.9%

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SGEM#293: CRASH in the US, CRASH in the US, CRASH-2 in the USA

The Skeptics' Guide to EM

You suspect abdomen and pelvic trauma and calculate his injury severity score (ISS) to be 22. Your hospital protocol is to give tranexamic acid (TXA) 1g IV over 10 minutes followed by a 1g infusion over eight hours. It asked if TXA had a mortality benefit in patients with isolated head trauma ( SGEM#270 )? TXA vs. 19.8%

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs.