ALiEM
MARCH 22, 2024
The two main causes of internuclear ophthalmoplegia are demyelination of the medial longitudinal fasciculus (MLF) from multiple sclerosis (MS) and ischemic cranial nerve damage from stroke. Usually, MS is seen in younger patients where both eyes are affected whereas strokes occur more often in older patients and only one eye is affected.
Downeast Emergency Medicine
APRIL 26, 2021
MI or stroke). A post-hoc analysis showed a lower 30-day mortality of those receiving TXA within an hour of their injury. Inclusion criteria included adults who were within 3 hours of injury, had a GCS of < 13 or any intracranial bleeding on CT, and no major extracranial bleeding. in the TXA group and 9.9%
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The Skeptics' Guide to EM
JUNE 17, 2023
American Journal of Hematology Jan 2023 * Population: Children aged 3-21 years old, with sickle cell disease (Hemoglobin SS disease or Hemoglobin Sβ Thalassemia) who presented with vaso-occlusive pain episodes to * Excluded: Children with upper respiratory infection, concern for stroke or altered mental status, or head injury, acute chest * Intervention: (..)
Don't Forget the Bubbles
FEBRUARY 5, 2025
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. Establish IV access for potential fluid resuscitation.
The Skeptics' Guide to EM
MAY 30, 2020
It seems to work for epistaxis ( SGEM#53 and SGEM#210 ), failed to demonstrate a decrease in all-cause mortality in post-partum hemorrhage ( SGEM#214 ), and did not result in an improved neurologic outcome in hemorrhagic strokes ( SGEM#236 ). It asked if TXA had a mortality benefit in patients with isolated head trauma ( SGEM#270 )?
Medical Law
SEPTEMBER 15, 2021
Major head injuries. Emergency rooms remain open to care for communities, and some health situations cannot wait. Examples of conditions that may require emergency medical treatment include: Animal bites. Broken bones. Severe bleeding. Loss of consciousness. Chest pain. Difficulty breathing. High fever.
Taming the SRU
FEBRUARY 12, 2024
After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs. She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes.
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