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. What are the potential complications of therapeutic hypothermia?

Hyperthermia / Hypothermia 116

Hyperthermia / Hypothermia Outcomes Pediatrics Resuscitation 116

Taming the SRU

DECEMBER 8, 2023

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.

Hyperthermia / Hypothermia 88

Hyperthermia / Hypothermia Head Injuries Resuscitation Documentation/Coding 88

Emergency Medicine Ireland

MAY 3, 2021

This is part of Oh’s Manual Chapter 77 on head injury and we covered ICP monitoring before in number 20. This is part of Oh’s Manual Chapter 77 on head injury and we covered ICP monitoring before in number 20. Welcome back to the tasty morsels of critical care podcast.

Head Injuries 40

Head Injuries Hyperthermia / Hypothermia Documentation/Coding Outcomes 40

Don't Forget the Bubbles

AUGUST 12, 2024

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.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Don't Forget the Bubbles

JUNE 30, 2023

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Emergency Medicine Journal

NOVEMBER 28, 2023

Drowsy (11.97%), Hypothermia (13.04%) and Cyanosis (10%) were also high risk categories. Abstract 2086 Table 1 Presentations Total first presentation over 2021 Total deaths (within 30 days ) Admission Admission (%) Percentage of deaths [CI ] INJURY OF SHOULDER/ARM/ELBOW/WRIST/HAND 8416 4 424 5 0.05[0.018 HEAD INJURY 3493 22 382 10.9

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

Rural Doctors Net

AUGUST 30, 2013

Of course any fluids given should be warmed to help avoid the lethal triad – acidosis, coagulopathy and hypothermia. Check his pupils – any signs of head injury or subdural from flying debris? Emlyns on the PROMMT data. Keep him warm and covered. As others have suggested, antibiotics and ADT would be needed.

Burns 52

Burns Hospitals Wellness Ambulance Services 52