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The Modified Brain Injury Guideline Criteria (mBIG)

The Trauma Pro

Here is the complete algorithm based on the mBIG criteria (click to see full-size): A larger validation study was published in 2022 by the same authors, following the addition of 496 patients from the same three trauma centers. Journal of Trauma and Acute Care Surgery 93(1):p 106-112, July 2022.

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EMCrit RACC Lit Review for December 2022

EMCrit

All the resus/acute critical care literature goodness for December 2022. EMCrit Project by Scott Weingart, MD FCCM.

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ECG Blog #396 — Why the Flat Line?

Ken Grauer, MD

The April 17, 2022 post ( Leads V1,V2 misplacement ). The May 5, 2022 post ( LA-RA reversal ). The May 24, 2022 post ( LA-LL reversal ). The May 26, 2022 post ( LA-LL reversal ). The August 17, 2022 post ( LA-RA reversal ). The November 19, 2020 post ( LA-LL reversal ). The May 13, 2023 post ( LA-RA reversal ).

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The BIG Brain Injury Guidelines

The Trauma Pro

2022 Aug 1;93(2):157-165. Journal of Trauma and Acute Care Surgery, 76(4), 965-969. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg.

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The Broselow-Luten System

Pediatric EM Morsels

PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. Zhu 2022] In Nepalese children, the Broselow correlated well at lower weights, but accuracy decreased at higher weights >18 kg. [K Published 2022 Sep 15. Published 2022 Aug 16. There are other systems that account for body habitus. Broselow does not.

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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

2022 Sep-Oct;43(5):103582. Epub 2022 Aug 6. 2022 Mar 4;14(3):e22857. Spencer R, Newby M, Hickman W, Williams N, Kellermeyer B. Efficacy of tranexamic acid (TXA) for post-tonsillectomy hemorrhage. Am J Otolaryngol. doi: 10.1016/j.amjoto.2022.103582. 2022.103582. PMID: 35988367. Am J Emerg Med. 2020 Sep;38(9):1943. 2020.01.042.

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ECG Blog #380 — What is "Swirl"?

Ken Grauer, MD

In the October 15, 2022 post of Dr. Smith's ECG Blog — Drs. Smith and Meyers in their October 15, 2022 post on Precordial Swirl. Figure-3: Selected sets of V1,V2 leads from the examples of Precordial Swirl provided in the October 15, 2022 post in Dr. Smith's ECG Blog. What is P recordial S wirl ?

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