PHEM Cast

OCTOBER 29, 2018

[link] Quite a few of our previous podcasts include content which is relevant to this Head Injury one. References The Brain Injury Foundation guidelines which Fliss mentions can be accessed here. Doubts over head injury studies. Mannitol for acute traumatic brain injury. Roberts I, Smith R, Evans S.

Head Injuries 52

Head Injuries 52

Emergency Medicine Cases

MARCH 9, 2021

Recent literature suggests that pediatric patients take longer to recover from mild traumatic brain injury compared to adults, and persistent post-concussive symptoms (PPCS) after 1 month occur in up to 30% of children after minor head injury.

Head Injuries 52

Head Injuries Pediatrics EMS 52

University of Maryland Department of Emergency Med

SEPTEMBER 30, 2023

"The main findings were the following: (1) there was no evidence of an effect of HTS compared with other agents (mainly mannitol) on long-term n. Click to view the rest

Head Injuries 71

Head Injuries 71

The Trauma Pro

AUGUST 27, 2024

Steroids are good in head injury. This also contributes to another recognized phenomenon, the half-life of facts. Think about all the things you learned during your training that are no longer believed to be true. Stress causes ulcers. There is a definite decay curve for the old facts that occurs as new knowledge is acquired.

Head Injuries 202

Head Injuries Operations Research 202

EMergucate

FEBRUARY 2, 2023

Simulation report 2/2/23 Interdisciplinary SIM ED/ Anaesthetics Summery: Head injury requiring intubation post agitation and seizure, ambulance called by police … Continue reading →

Head Injuries 40

Head Injuries Seizures 40

Emergency Medicine Journal

MAY 22, 2025

In the Editor’s Choice, Proctor and colleagues acknowledge that nearly three quarters of children transported to UK EDs by ambulance for a head injury are discharged without imaging or treatment. This can manifest in a risk-averse approach with a lower threshold for conveyance to the ED.

Head Injuries 52

Head Injuries Hospitals 52

The Trauma Pro

JUNE 13, 2025

In my previous post, I reviewed the Brain Injury Guideline criteria (BIG) that were published in 2014, and cited some early papers promoting its use for simplifying neurotrauma care. These criteria allowed trauma professionals to use our neurosurgical colleagues’ services more sensibly.

Patient Safety 162

Patient Safety Hospitals Head Injuries 162

The Trauma Pro

APRIL 26, 2024

Blood usage also dropped quickly after the procedure.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

EMDocs

APRIL 25, 2025

Follow the MARCH Algorithm for Trauma Management: Prioritize Massive hemorrhage, Airway, Respirations, Circulation, and Hypothermia/Head Injury , ensuring a systematic approach to treating the most life-threatening issues first.

Pediatrics 93

Pediatrics EMS Head Injuries Hyperthermia / Hypothermia 93

Don't Forget the Bubbles

JUNE 3, 2025

A CT head is ordered to rule out an intracranial injury. But this is more than just a broken wrist it’s a serious head injury in a child whose brain is still developing. Fractures and head injuries were the most common, with over 23% involving the face, skull, or neck. Fortunately, theres no bleed.

Fractures 67

Fractures Emergency Department Head Injuries Hospitals 67

RebelEM

AUGUST 7, 2023

The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge. Traditional RSI entails preoxygenation followed by.

Head Injuries 98

Head Injuries Airway Management Outcomes Burns 98

The Trauma Pro

OCTOBER 25, 2024

All too often, prophylaxis is delayed due to solid organ or head injuries. Multivariate analysis suggests that this is not a significant risk factor. The finding that early chemoprophylaxis reduced VTE incidence to only 3% is very interesting.

Fractures 113

Fractures Head Injuries Operations Ultrasounds 113

Emergency Medicine Cases

NOVEMBER 12, 2024

We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway.

Airway Management 127

Airway Management Resuscitation EMS Head Injuries 127

Pediatric EM Morsels

JUNE 9, 2023

Maybe injuries to the spleen or kidney come to mind. Perhaps thoughts of pelvic injuries or severe head injury dominate our considerations. When we think of severe hemorrhage in children, we typically think about trauma.

Pediatrics 157

Pediatrics Head Injuries Airway Management Administration 157

EMDocs

MARCH 9, 2024

These findings suggest routine head CT imaging may be helpful for elderly patients with head trauma as clinical assessment may not identify patients with significant pathology. Source Blunt Head Injury in the Elderly: Analysis of the NEXUS II Injury Cohort. Ann Emerg Med. 2024 Feb 9:S0196-0644(24)00003-9.

Head Injuries 95

Head Injuries Airway Management Outcomes EMS 95

American Medical Compliance

MARCH 3, 2025

These accidents can lead to fractures, head injuries, and lost workdays. Failure to Prevent Slips, Trips, and Falls The Risk Wet floors, cluttered hallways, and improperly maintained equipment create serious slip-and-fall hazards.

PPE 103

PPE Legal Issues Head Injuries Burns 103

Emergency Medicine Cases

MARCH 7, 2017

In anticipation of the upcoming EM Cases main episode on Pediatric Polytrauma Dr. Suzanne Beno, Co-director of the Trauma Program at the Hospital for Sick Children in Toronto, tells her Best Case Ever of a child who suffers a severe traumatic head injury with signs of raised intracranial pressure and cerebral herniation.

Pediatrics 52

Pediatrics Head Injuries EMS Hospitals 52

Taming the SRU

DECEMBER 8, 2023

r4 case follow-up WITH DR. milligan CC: Found down The case: A young F was found down in a snow bank after a GSW to the head. She presented with a core temp of 30C and her CT scan did not show a devastating head injury as was expected. EMS had reported she had coded en route. She regained pulses with warming on arrival.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Head Injuries Resuscitation Documentation/Coding 105

The Skeptics' Guide to EM

JULY 29, 2023

Background: We have covered head injuries including concussions multiple times on the SGEM. This has included looking at the Canadian CT Head Rules/Tools ( SGEM#106 , SGEM#266 , and SGEM#272 ). He has midline neck tenderness but no limb numbness or paresthesia.

Head Injuries 98

Head Injuries EMS Research Emergency Department 98

Pediatric EM Morsels

JULY 5, 2024

risk of C Spine injury) Altered Mental Status (GCS 3-8 or U on AVPU) Abnormal ABCs on exam Focal Neurologic Deficits (paresthesia, numbness, weakness) Not Negligible Risk (2.8% High Risk (12.8%

Pediatrics 167

Pediatrics Head Injuries Dislocations Research 167

Emergency Medicine Cases

AUGUST 24, 2021

When can anticoagulation medications be safely resumed after an older person has sustained a minor head injury? The post Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine appeared first on Emergency Medicine Cases. and many more.

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

EMergucate

NOVEMBER 26, 2019

The ECG below is taken from a 4 year old boy who has presented with multiple episodes of syncope after sustaining a head injury in a fall of <1m.

EKG/ECG 52

EKG/ECG Head Injuries 52

Emergency Medicine Cases

NOVEMBER 5, 2019

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

Shock 52

Shock EMS Head Injuries Pediatrics 52

Emergency Medicine Journal

JULY 22, 2024

PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study by Holmes et al Topic: Paediatric trauma Rating: Game Changer Children with traumatic abdominal and head injuries frequently present to the ED.

Head Injuries 52

Head Injuries Emergency Department Hospitals 52

EMDocs

MARCH 2, 2024

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% There is no evidence that steroids (D) are beneficial in head injury. Pneumocephalus after lumbar epidural catheter: a case report.

EMS 112

EMS Fractures Seizures Head Injuries 112

EMergucate

MAY 12, 2020

A 5-year-old boy represented to the emergency with his mother at 11 pm after a head injury earlier in the afternoon. He vomited twice so far and bit drowsy as per mom. He was seen in ED 2 hours ago…

Head Injuries 40

Head Injuries 40

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

The Canadian CT Head Rule [2] is a clinical decision instrument to help you decide if a patient with a mild head injury requires a CT head. Minor head injury was defined as blunt head trauma, resulting in amnesia, loss of consciousness or an altered mental state (confusion or disorientation) with a GCS score ≥13.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

American Medical Compliance

APRIL 21, 2025

For seniors, even a minor fall can lead to fractures, head injuries, and loss of independence.

Allergic Reactions 66

Allergic Reactions Burns Head Injuries CDC 66

Emergency Medicine Cases

JANUARY 1, 2019

What should your resuscitation targets be in the first 15 minutes for trauma patients with hemorrhagic shock, neurogenic shock, severe head injury? When is a pelvic binder indicated? Is a bedsheet good enough? What are the most common pitfalls in binding the pelvis?

Head Injuries 52

Head Injuries Resuscitation Shock EMS 52

PEMBlog

MAY 20, 2025

Head trauma, um, of course people don’t wanna miss a bleed. So we do imaging for closed head injury. Those patients with minor head trauma, cervical spine trauma, abdominal trauma. The kid who comes in with belly pain, you don’t wanna miss an appendicitis.

Ultrasounds 101

Ultrasounds Radiology Radiology Pediatrics 101

Emergency Medicine Journal

JUNE 22, 2023

2 For example, there was a U-shaped relationship between SI values and mortality in patients with head injuries, which means that hypertension is also associated with increased mortality in patients with head injuries. 4 Calibration measures are essential to determine whether the projected probabilities actually.

Head Injuries 40

Head Injuries 40

EMergucate

NOVEMBER 26, 2019

The ECG below is taken from a 4 year old boy who has presented with multiple episodes of syncope after sustaining a head injury in a fall of <1m.

EKG/ECG 40

EKG/ECG Head Injuries 40

Taming the SRU

FEBRUARY 5, 2024

Several definitions have been set forth for this common injury, with perhaps the most well accepted definition being introduced by the Centers for Disease Control and World Health Organization. For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

The Skeptics' Guide to EM

MAY 22, 2021

One of the issues that comes up with minor head injuries is do we need to get advanced imaging. We looked at the Canadian CT Head Rule (CCHR) published by Dr. Ian Stiell in the Lancet 2001 on SGEM#106. The SGEM has also covered the issue of getting CT scans in pediatric patients with minor head injuries.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Medical Law

DECEMBER 14, 2021

If the patient suffers other serious injuries, doctors may focus on treating those injuries and may overlook what appears to be a mild head injury. People experiencing symptoms of subtle brain injury may be embarrassed about having cognitive or emotional issues. Mild head injuries are common among children.

Head Injuries 52

Head Injuries Shock 52

EMergucate

MARCH 1, 2015

The following skull x-ray is from a 3 year old with a history of a head injury 72 hours prior to presentation. He had a fall in the playground with no LOC and one incidence of vomiting post-injury.…

Head Injuries 40

Head Injuries EMS 40

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: (..)

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74