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

APRIL 26, 2024

Blood usage also dropped quickly after the procedure.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

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 79

Head Injuries Airway Management Outcomes EMS 79

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

Don't Forget the Bubbles

OCTOBER 19, 2023

The primary survey confirms isolated head injury – Bee’s drowsy, and a formal GCS is 12 – E3, V4, M5. But what about the evidence of TXA in isolated head injury? of patients in the TXA group died from their head injuries, compared to 19.8% Disaster strikes when the car hits Bee, hurtling her into the air.

Head Injuries 81

Head Injuries Fractures Outcomes Hospitals 81

The Trauma Pro

OCTOBER 6, 2023

The mortality trends do not appear to be related to injury grade, overall injury severity, or the presence of head injury. Taken together, this suggests that we need to rethink the timing of TEVAR in patients with grade II or III injuries.

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

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 86

Head Injuries Outcomes Airway Management Burns 86

The Trauma Pro

MAY 9, 2023

This represents when after arrival, patients start dying due to their injuries. Penetrating injury plus hypotension kills the fastest at 19 minutes and head injuries the slowest at 1:20. It’s less than 20 minutes in victims of penetrating injury with early hypotension.

Head Injuries 130

Head Injuries Operations Documentation/Coding Outcomes 130

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

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

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 Trauma Pro

SEPTEMBER 12, 2023

Here are the factoids: A total of 12,211 patients were enrolled in this multi-center, and the same outcomes listed above were monitored for 90 days Of the total group, 3052 were judged to be high risk: 46% had a femur fracture, 42% had a pelvic/acetabular fracture, 48% had a thoracic injury, 39% had a spinal injury, and 35% had a head injury There (..)

Fractures 147

Fractures Head Injuries Research Outcomes 147

Downeast Emergency Medicine

APRIL 26, 2021

CRASH-3 TRIAL COLLABORATORS This international, multi-center, randomized, placebo-controlled trial looked at the effects of TXA on head injury-related death, disability, and adverse events in adult patients with TBI. The primary outcome was head injury-related death in-hospital within 28 days of injury.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 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

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 93

Head Injuries EMS Research Emergency Department 93

The Skeptics' Guide to EM

JULY 17, 2018

He is also the CME editor for Academic Emergency Medicine Case: You’re working in a small rural emergency department when a seven-year-old girl comes in by EMS with a head injury. She hit a rock, and went over the bars, striking her head on a small tree as she fell. Corey Heitz is an emergency physician in Roanoke, Virginia.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

Medical Law

NOVEMBER 17, 2022

These injuries can be tremendously harmful and even fatal. The victim of a sidewalk fall may fall backward, landing directly on their head.

Head Injuries 52

Head Injuries Fractures 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 Head Injuries EMS Pediatrics 52

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

Emergency Medicine Journal

NOVEMBER 28, 2023

Results and Conclusion Since go–live (August 2022) electronic resources have become the standard first offer for families 44 core electronic ED resources cover safety net advice for common conditions, health promotion and signposting links to support health inequalities Sharing options: scanned via QR code (see figure 1 ), sent via text/SMS or (..)

Emergency Department 40

Emergency Department Head Injuries Documentation/Coding 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Admission ITBI coagulopathy is common and associated with head injury severity and radiological evidence of BCC. Several admission tests were good or excellent predictors of BCC (d-dimer AUROC 0.832, fibrinogen AUROC 0.745) and 7-day mortality (aPTT AUROC 0.781, FIBTEM CT AUROC 0.717).

Head Injuries 40

Head Injuries Radiology Radiology Outcomes 40

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 152

Pediatrics Head Injuries Airway Management Administration 152

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 78

Hyperthermia / Hypothermia Resuscitation Head Injuries Documentation/Coding 78

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 111

EMS Fractures Seizures Head Injuries 111

The Skeptics' Guide to EM

FEBRUARY 3, 2024

Excluded: Oropharyngeal trauma combined with other severe head injury or multisystem trauma, not primary research, non-English publication * Intervention: CTA * Comparison: No CTA * Outcome: radiologic and clinical outcomes including infection, injury to vasculature, cerebrovascular injury, and neurologic abnormalities.

Pediatrics 62

Pediatrics Radiology Radiology Head Injuries 62

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

Pediatric Education

APRIL 7, 2024

The mother was given head injury instructions and asked to monitor for any additional problems that arose for his nose or mouth too. These patients are usually treated symptomatically with ice, pain medications and return precautions for any nasal/airflow obstruction, additional bleeding or nasal discharge and head injury precautions.

Fractures 40

Fractures Head Injuries Pediatrics Wellness 40

Pediatric EM Morsels

JULY 21, 2023

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.

Head Injuries 224

Head Injuries Pediatrics Outcomes Shock 224

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

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

Emergency Medicine Ireland

MAY 3, 2021

This is part of Oh’s Manual Chapter 77 on head injury and we covered ICP monitoring before in number 20. This is part of Oh’s Manual Chapter 77 on head injury and we covered ICP monitoring before in number 20. Welcome back to the tasty morsels of critical care podcast.

Head Injuries 40

Head Injuries Hyperthermia / Hypothermia Documentation/Coding Outcomes 40

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 Research Emergency Department Pediatrics 52

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

The Skeptics' Guide to EM

AUGUST 5, 2023

Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. He is a […] The post SGEM#412: I Can’t Choose…from all the Head Injury Prediction Rules first appeared on The Skeptics Guide to Emergency Medicine. So, should we CT scan children with minor head injury?

Head Injuries 40

Head Injuries Pediatrics Outcomes Fractures 40

ALiEM

MARCH 22, 2024

Unilateral Internuclear Ophthalmoplegia Following Minor Head Injury. Unilateral INO is more frequently related to ischemic/vascular causes whereas bilateral INO is associated with MS. References Kim SS, Lee MH, Ji C. Korean J Neurotrauma. 2022 Oct 24;18(2):329-334. doi: 10.13004/kjnt.2022.18.e64. PMID: 36381451; PMCID: PMC9634317.

Stroke 66

Stroke Urgent Care Head Injuries Emergency Department 66

Emergency Medicine Cases

JUNE 13, 2017

Quick and insightful reviews of 17 important adult and pediatric emergency medicine studies from 2016: The PROCAMIO study for stable VT, platelets for head bleeds (PATCH), BP lowering in ICH (ATACH II), antibiotics for abscesses, work up of subarachnoid hemorrhage, dosing IV ketorolac, the PESIT trial, ketamine dosage for sedation in pediatrics, instructions (..)

EMS 52

EMS Head Injuries Pediatrics Sepsis 52

Mind The Bleep

MAY 1, 2024

Things to ask and think about: · What happened before, during, and after the injury. · Mechanism of injury · Any other injuries or symptoms o Especially head injury o Do a systems review- could a fall be caused by underlying infection? · Medical and medication history o Anticoagulation needs to be stopped if safe to (..)

Fractures 52

Fractures Documentation/Coding Head Injuries Dislocations 52