Tagged ‘Trauma’

Journal Review

Early Subthreshold Aerobic Exercise for Sport-Related Concussion: A Randomized Clinical Trial.

Filed Under: Tags: , , December 5th, 2019 Leave a Comment

Recommendations that “rest is best” for concussions are based on animal research and consensus opinion. Recent evidence suggests that strict limitation of activity may not be beneficial. A small clinical trial (n=88) of pediatric patients with acute concussion randomized patients to “strict rest” for 5 days and “usual care” defined as 1-2 days of rest and then a gradual return to activities.
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Journal Review

Effects of Tranexamic Acid on Death, Disability, Vascular Occlusive Events and Other Morbidities in Patients with Acute Traumatic Brain Injury (CRASH-3): A Randomised, Placebo-Controlled Trial

Filed Under: Tags: , November 22nd, 2019 Leave a Comment

Head trauma is a leading cause of trauma related morbidity and mortality worldwide. Tranexamic acid (TXA) inhibits fibrinolysis and can decrease ongoing hemorrhage. In the CRASH-2 Trial, TXA given within 3 hours of injury was shown to decrease mortality from major extracranial injury (CRASH 2 Investigators,
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Core

Central Cord Syndrome

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An overview of Central Cord Syndrome.
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Journal Review

Delayed Presentations to Emergency Departments of Children with Head Injury: A PREDICT Study

Filed Under: Tags: , October 25th, 2019 Leave a Comment

Blunt head trauma in the pediatric patient is a common presentation to emergency departments. Clinical decision rules such as the PECARN rule (Lancet. 2009, PubMed ID: 19758692), CATCH rule (CMAJ 2010,
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Journal Review

Cervical Spine Injury Risk Factors in Children with Blunt Trauma

Filed Under: Tags: , August 16th, 2019 Leave a Comment

Pediatric cervical spine injuries (CSI) are rare (1-2%) after blunt trauma. Decision rules to identify adults at low risk of cervical spine injury have been developed (NEXUS criteria (Hoffman, NEJM 2000,
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Journal Review

Delayed Fluid Resuscitation for Hypotensive Patients with Penetrating Torso Injuries

Filed Under: Tags: , , February 6th, 2019 Leave a Comment

Prior to this study, the preoperative approach to hypotensive patients with trauma included prompt intravenous infusion of isotonic fluids – the rationale being to sustain tissue perfusion and vital organ function while diagnostic and therapeutic procedures were underway.
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