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Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

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?

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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.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In the context of a child with a head injury- what was the best GCS/ GCS on arrival of the crew? E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. In addition, consider if there are any signs of injury with ENT, neurological or respiratory symptoms.

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Tasty Morsels of Critical Care 039 | Management of raised ICP

Emergency Medicine Ireland

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.

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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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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. 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.

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

Emergency Medicine Journal

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