Head Injuries Research Wellness 
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.
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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.
The Skeptics' Guide to EM
SEPTEMBER 14, 2019
Case: It’s a busy night in the emergency department, your next patient is a well appearing 70-year-old man, presenting after a mechanical fall from standing with loss of consciousness. 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.
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. The “usual care intervention” was not well-defined. However, the definition of “social” activities was not well defined. Investigators performed a comprehensive search of multiple databases.
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 ).
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.
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