CRASH-2 and head injury
The overall effect of the antifibrinolytic drug tranexamic acid on outcome from major trauma was assessed in the CRASH-2 trial, […]
All Updates, ICU, Resus, Trauma
TBI
All Updates, ICU, Resus, Trauma
Decompressive craniectomy for high ICP head trauma
Bilateral decompressive craniectomy for severe diffuse traumatic brain injury and intracranial hypertension that was refractory to first line therapies did […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Salt or sugar on the brain
A meta-analysis suggests hypertonic saline may be more effective at lowering intracranial pressure than mannitol. An accompanying editorial cleverly entitled […]
All Updates, ICU, PHARM, Resus, Trauma, Ultrasound
Pre-hospital transcranial Doppler
The SAMU (Service d’aide médicale urgente) guys have had a run of interesting pre-hospital publications lately. In this study, one […]
All Updates, ICU, Resus, Trauma
Fever in head injury might not be bad
Thanks to Michael McGonigal MD for highlighting this in his excellent Trauma Professional’s Blog: Body temperature does not necessarily reflect […]
All Updates, ICU, PHARM, Resus, Trauma
Paramedic RSI in Australia
A prospective, randomized, controlled trial compared paramedic rapid sequence intubation with hospital intubation in adults with severe traumatic brain injury […]
Acute Med, All Updates, ICU, Resus, Trauma, Ultrasound
Ultrasound measurement of optic nerve sheath diameter
Here’s the abstract from a new study contributing the literature on ED assessment of raised intracranial pressure using ocular ultrasound: […]
All Updates, PHARM, Resus, Trauma
Burr holes by emergency physicians
Emergency physicians at Hennepin County Medical Centre (HCMC) are trained in skull trephination (drilling a burr hole) for patients with […]
All Updates, ICU, PHARM, Trauma
RCT of 7.5% saline in head injury
Over a thousand patients in North America with blunt traumatic head injury and coma who did not have hypovolaemic shock […]
All Updates, PHARM, Trauma
No benefit from pre-hospital trauma doctor in Holland
Being human, I suffer from confirmation bias: I’ve become aware that I’m always on the look out for studies that […]