C-spine Clearance in Kids Under 3 Years
C-spine injury is rare in children under 3 years. GCS < 14, GCS (eye) of 1, MVC mechanism, or age between 2- 3 years were associated with c-spine injury.
High Risk Features for SAH
The Ottawa SAH Rule is helpful in deciding which patients need further workup in the ED, but make sure your patient is similar to those included in the validation study.
How to Tell a Septic Hip from Transient Synovitis
These 4 predictors are somewhat helpful in distinguishing transient synovitis of the hip from septic arthritis. Note the limitations of the Kocher Criteria when using it in practice, and err on the side of orthopedic consultation and/or admission.
Why We Give Dexamethasone for Mild Croup
Dexamethasone is beneficial for mild croup, not just moderate to severe.
Which Kids Need Abdominal CT in Trauma
These 6 criteria may help when considering the imaging strategy for children with blunt abdominal trauma.
Why We Use Targeted Temperature Not Hypothermia
Targeted temperature management, with a goal of 36°C in unconscious post-arrest patients, appears to be as effective as the more aggressive target of 33°C.
Why We Used Therapeutic Hypothermia Post-arrest
Therapeutic hypothermia appeared to be a very promising therapy for patients resuscitated after VF. It turns out, strict normothermia and avoidance of hyperthermia was actually what mattered most.
TIA Turned Stroke – Avoid It With ABCD2
The ABCD2 score is a good predictor of stroke risk after TIA.
Why the Window for tPA Got Wider – ECASS III
The window for tPA got wider with this study; ECASS III expanded the time of administration to 4.5 hours.
HINTS to the Cause of Dizziness
HINTS is a 3-part exam that is a powerful bedside discriminator of vertigo caused by a peripheral insult vs. posterior stroke that outperformed MRI.