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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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SAEM Clinical Images Series: Seeing Double

ALiEM

A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. Unilateral Internuclear Ophthalmoplegia Following Minor Head Injury. References Kim SS, Lee MH, Ji C. Korean J Neurotrauma. 2022 Oct 24;18(2):329-334. Br Ir Orthopt J.

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Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain

ACEP Now

Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain Case A 15-year-old female with sickle cell disease (SCD) presents to your emergency department (ED) with a vaso-occlusive pain episode (VOE) of her legs and back. She has a history of similar episodes. There are no other concerning aspects to her examination. Am J Hematol.

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SGEM#225: NEXUS II – Validation of the Pediatric Head CT Decision Instrument

The Skeptics' Guide to EM

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. AEM July 2018 Guest Skeptics: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Dad, on the other hand, may need something for anxiety.

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

ACEP Now

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

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SGEM#185: Every EHR Wants to “Rule” the World

The Skeptics' Guide to EM

Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED study. Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario. AEM July 2017. AEM July 2017.

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Grand Rounds Recap 5.3.23

Taming the SRU

million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.