Tag Archive: head injury

JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some time ago. Our patient had…
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Impact Brain Apnoea with Gareth Davies from London HEMS. St.Emlyn’s

I was recently discussing the management of traumatic cardiac arrest with one of my junior colleagues and was surprised to hear that they had not heard of impact brain apnoea as a cause of respiratory and subsequently cardiac arrest. Then…
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JC: Progesterone’s pleiotropic failure in head injury. St.Emlyn’s

Pleiotropic might just be my favourite new word, thus overtaking November’s great word ‘Glyptotek’ (Danish for Sculpture museum). I digress. Pleiotropic is a word used to describe the ability of a gene to affect multiple phenotypic traits. Great, what’s that…
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Free Open Access RESUSCITATION – the GoodSamApp with Mark Wilson

    Mark Wilson. One of the things I love about medicine is the cross-fertilisation of ideas and techniques from one discipline to another. I worry that as more subspecialisation occurs, cross-fertilisation will be lost. Emergency medicine and critical care,…
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JC: When a subdural needs surgery in the elderly. St. Emlyn’s

The diagnosis and management of major trauma in the elderly is a really hot topic in Emergency Medicine right now.  Compared to younger patients, the elderly can sustain much more serious injuries even with apparently trivial mechanisms.  What’s more, they present…
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JC: Duel of the Rules: Which decision rule for head injury in children?

Ladies and Gentlemen! The assessment and investigation of paediatric head injury is a case study in clinical risk management. Similar to chest pain in grown up medicine, it’s a frequent presentation, with a rare but potentially devastating outcome. It’s these…
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