article thumbnail

Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel

Pediatric EM Morsels

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. So, it would seem that now is an opportune time for a Rebaked Morsel on Closed Head Injury and the application of PECARN for children less than 3 months of age.

article thumbnail

TXA in head injuries

Don't Forget the Bubbles

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. 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. This is not good.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Basic Fracture Management

Mind The Bleep

Whether you’re interested in orthopaedics or not, knowledge of basic fracture management can be useful in any ED. It may also affect any decision to scan the head. · Social history o What do they do for work? Examination of a fractured limb Most patients will be in a lot of pain. What happened and why?

article thumbnail

Preperitoneal Packing Vs Angioembolization: Part 1

The Trauma Pro

In this series, I will review the two major techniques for addressing troublesome bleeding from pelvic fractures. A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. As I continue to preach, going anywhere but the OR is dangerous for the patient.

Fractures 147
article thumbnail

How Do You Treat Nasal Fractures?

Pediatric Education

The mother was counseled about how to manage the lip laceration, and was relieved to hear that a nasal fracture was very unlikely in his case. The mother was given head injury instructions and asked to monitor for any additional problems that arose for his nose or mouth too. Epistaxis is common but not for every injury.

article thumbnail

EM@3AM: Pneumocephalus

EMDocs

4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% This is considered an open fracture. Patients with open skull fractures should be evaluated by neurosurgery and admitted for observation.

EMS 113
article thumbnail

Unwrapping PEM excellence at IAEM23

Don't Forget the Bubbles

An x-ray confirms a toddler’s fracture. You have four options: Above knee cast Below knee cast Boot Nothing Our approach to managing toddler’s fractures mostly comes from retrospective case studies and only two small prospective case series. Toddler’s fractures heal quickly, with excellent outcomes. But what will you do?