Pediatric Needle Decompression - What Size Needle?

Pediatric Needle Decompression - What Size Needle?

A standard 5cm 14-16 gauge needle for chest decompression was more than twice as long as needed for children < 13 years old based on CT chest wall thickness (CWT).

Ketamine RCT - Multiple Rib Fractures

Ketamine RCT - Multiple Rib Fractures

Low dose ketamine did not reduce overall pain or opioid use in this study of patients with rib fractures. However, for severely injured patients with ISS>15, ketamine allowed patients to achieve the same level of pain control with significantly less opioid medication.

#ThisIsOurLane - Physicians and Gun Violence

#ThisIsOurLane - Physicians and Gun Violence

The physician response to an incendiary tweet by the NRA last week has been striking. It has led to the hashtag #ThisIsOurLane, as the NRA admonished physicians to “stay in their lane” regarding gun policy. This is a review of the position statement by the American College of Physicians on reducing firearm deaths and injuries that sparked it all.

Pediatric TBI Guidelines from the CDC

Pediatric TBI Guidelines from the CDC

Taking care of children with mild traumatic brain injury is not easy. This guideline states clearly, based on compiled evidence, what you should and should not do.  It’s helpful.

Which Head Injury Rule for Adults - CHIP, New Orleans, Canadian, NICE?

Which Head Injury Rule for Adults - CHIP, New Orleans, Canadian, NICE?

The CHIP rule performed better than other head injury rules in patients >16 years old in striking the balance between avoiding CT in 21% of patients while missing only 2 potential neurosurgical lesions on CT.

New Risk After TBI - Suicide

New Risk After TBI - Suicide

The incidence of suicide nearly doubled in patients who had traumatic brain injury (TBI) compared to baseline.  Risk increased with severity of injury, number of visits, and was highest in the first 6 months post-injury.

Scan 'Em All - Anticoagulated Minor Head Trauma

Scan 'Em All - Anticoagulated Minor Head Trauma

Incidence of intracerebral hemorrhage (ICH) on CT following minor head trauma in anticoagulated patients was 9%, which means we have to CT all these people.

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