Head Injuries Research Wellness 
Pediatric EM Morsels
JULY 21, 2023
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.
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. Should we aim to prevent fever, or should we cool patients?
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The Trauma Pro
OCTOBER 6, 2023
At the time, there was a debate about whether the procedure should be done immediately versus waiting until the patient was well-resuscitated. The first is from an international research group that searched the usual databases and initially found 921 records. However, the same question arises: do it early or wait a while?
Pediatric EM Morsels
JULY 5, 2024
risk of C Spine injury) Altered Mental Status (GCS 3-8 or U on AVPU) Abnormal ABCs on exam Focal Neurologic Deficits (paresthesia, numbness, weakness) Not Negligible Risk (2.8% Moral of the Morsel Anatomy Matters: Pediatric patients have unique C-spine anatomy, which predisposes them to different injury patterns than adults.
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 ). This has evolved due to recognition of some of the adverse effects of immobilization as well as limitations to its benefits.
RebelEM
FEBRUARY 29, 2024
Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. Included traumatic and nontraumatic brain injuries. 8 Author’s Conclusion: “In patients with acute brain injury, a single ceftriaxone dose decreased the risk of early VAP.” .;
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.
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