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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. What about head injury , though? Along came the CRASH 3 trial, another huge study looking specifically at TXA in traumatic brain injury. This is not good. in the TXA group vs 53.7%

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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. PECARN Works too! Clinical Judgement is also important!

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NICE Head Injury Guidelines 2023: Now who do we scan?

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed On Thursday 18th May the National Institute for Health and Care Excellence (NICE) released the updated head injury guidelines: assessment and early management [NG232] There have been three head injury … NICE Head Injury Guidelines 2023: Now who do we scan?

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When do you use X-ray vs CT for pediatric head injuries?

Canadian EM

A 3-year-old boy is brought to the ED by his anxious parents following a head injury he sustained while playing in the playground. He was running when he tripped and bumped his head against the metal steps. You consider the role of such imaging in investigating pediatric head injuries –. first appeared on CanadiEM.

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Head injury, ED Anaesthetics Simulation

EMergucate

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

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Ep 153 Pediatric Minor Head Injury and Concussion

Emergency Medicine Cases

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.

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Episode 30: Head injury

PHEM Cast

[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.