Remove Head Injuries Remove Stroke Remove Wellness
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TXA in head injuries

Don't Forget the Bubbles

No, I don’t give TXA to kids with isolated head injuries We want to stop any clot breakdown to try and slow any potential bleeding. Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. What about head injury , though? This is not good. in the TXA group vs 53.7%

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52 in 52 – #39: DAWN – Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct

EMDocs

Patient had to be able to be randomized between 6-24 hours after last known well. Pre-stroke disability had to be insignificant measured by mRS (modified Rankin Scale) of 0 or 1. Exclusion criteria: Medical history of severe head injury with lasting neurologic deficit in past 90 days. Reference: Nogueira RG, et al.,

Stroke 73
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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

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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Glasgow Coma Scale in Children

Pediatric EM Morsels

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.

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Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver

ACEP Now

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units. Risk of brain tumor induction from pediatric head CT procedures.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. Included traumatic and nontraumatic brain injuries.

CDC 123
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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? – One stroke is prevented for every 37 patients with dementia who avoid 2-3 months of antipsychotic symptoms for their BPSD.