The Skeptics' Guide to EM

JULY 29, 2023

Background: We have covered head injuries including concussions multiple times on the SGEM. This has included looking at the Canadian CT Head Rules/Tools ( SGEM#106 , SGEM#266 , and SGEM#272 ). Existing research on SMR confirms decreases in the use of long backboards and increases in collar-only treatment [12-14].

Head Injuries 95

Head Injuries EMS Research Emergency Department 95

RebelEM

FEBRUARY 29, 2024

The authors rightfully note future research targets should include how/if the routine use of ceftriaxone increases antibiotic resistance in a population that is already quite vulnerable to devastating infection. 8 Author’s Conclusion: “In patients with acute brain injury, a single ceftriaxone dose decreased the risk of early VAP.” .;

CDC 111

CDC Radiology Radiology Head Injuries 111

The Skeptics' Guide to EM

JULY 17, 2018

He is also the CME editor for Academic Emergency Medicine Case: You’re working in a small rural emergency department when a seven-year-old girl comes in by EMS with a head injury. She hit a rock, and went over the bars, striking her head on a small tree as she fell. Corey Heitz is an emergency physician in Roanoke, Virginia.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

The Skeptics' Guide to EM

MAY 22, 2021

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency […] The post SGEM#331: Should Patients with a Concussion be told to Walk this Way! Reference: Varner et al.

Head Injuries 52

Head Injuries Research Emergency Department Pediatrics 52

The Skeptics' Guide to EM

FEBRUARY 3, 2024

Excluded: Oropharyngeal trauma combined with other severe head injury or multisystem trauma, not primary research, non-English publication * Intervention: CTA * Comparison: No CTA * Outcome: radiologic and clinical outcomes including infection, injury to vasculature, cerebrovascular injury, and neurologic abnormalities.

Pediatrics 68

Pediatrics Radiology Radiology Head Injuries 68

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

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. Minor head injury was defined as blunt head trauma, resulting in amnesia, loss of consciousness or an altered mental state (confusion or disorientation) with a GCS score ≥13.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

The Skeptics' Guide to EM

JUNE 17, 2023

Her research interests include optimizing pain treatment in children. Amy Drendel is a pediatric emergency medicine physician and physician scientist at Children’s Wisconsin. She is a Professor of Pediatrics and Interim Chief of the Section of Pediatric Emergency Medicine at the Medical College of Wisconsin.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

Downeast Emergency Medicine

APRIL 26, 2021

CRASH-3 TRIAL COLLABORATORS This international, multi-center, randomized, placebo-controlled trial looked at the effects of TXA on head injury-related death, disability, and adverse events in adult patients with TBI. The primary outcome was head injury-related death in-hospital within 28 days of injury.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

The Skeptics' Guide to EM

OCTOBER 17, 2020

It is a free, critical appraisal blog and podcast that try to cut down knowledge translation gaps of research to bedside clinical practice. Effect of Out-of-Hospital Tranexamic Acid vs Placebo on 6-Month Functional Neurologic Outcomes in Patients With Moderate or Severe Traumatic Brain Injury. Reference: Rowell et al.

EMS 52

EMS Head Injuries Outcomes Hospitals 52

ACEP Now

JULY 6, 2023

Emergency physicians have become leaders in achieving cost efficiency in health care, predominantly through implementation of new processes and research findings, enabling us to achieve significant financial savings. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

RebelEM

NOVEMBER 20, 2023

Researchers randomly assigned 90 eligible patients over ≈ 4.5 Baseline differences in demographics, including variations in heart rate, systolic blood pressure, and head injury, persisted despite randomization, suggesting patients in the REBOA+SC arm had a worse prognosis. Sites: Conducted at 16 major trauma centers in the UK.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

The Skeptics' Guide to EM

OCTOBER 26, 2019

The bottom line was that this paper opens the door for further research to try to narrow the criteria in the CCHR to further reduce unnecessary head CT imaging in the emergency department. We also recently reviewed a paper that looked at increasing the CCHR age criteria from 65 years of age to 75 years of age ( SGEM#266 ).

Head Injuries 52

Head Injuries Emergency Department Research Wellness 52

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

RebelEM

AUGUST 24, 2023

Researchers utilized two bias tools in an attempt to assess bias: The Cochrane Risk of Bias Tool was used for RCTs. 6 Given these considerations, we must have high-quality research to inform prevention, recognition, and early evaluation and management of concussions. Investigators performed a comprehensive search of multiple databases.

Pediatrics 84

Pediatrics Outcomes Research Hospitals 84

The Skeptics' Guide to EM

MARCH 12, 2022

Dr. Varner’s research interests are in concussion and pregnancy care in the ED. Case: An 18-year-old female presents to the emergency department (ED) after falling off a moving snowmobile and hitting her head on the ground. An issue that often comes up with minor head injuries is do we need to get advanced imaging.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

The Injectable Orange

JUNE 20, 2017

This demands more research.” The ED team had just finished an in situ simulation where the focus was on rapid sequence intubation (RSI) in head injury, and using the new intubation checklist. Maybe people get angrier when pickles turn up on their double cheeseburger than when we give their grandma the wrong drug?

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

The Skeptics' Guide to EM

AUGUST 5, 2017

He is internationally recognized for his research in emergency medicine with a focus on the development of clinical decision rules. He is internationally recognized for his research in emergency medicine with a focus on the development of clinical decision rules. Ian picked Emergency by Icona Pop.

Head Injuries 40

Head Injuries Research Shock Hospitals 40