Category: Head injury

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

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

All Shook Up – Diffuse Axonal Injury with John Hell

Regular readers will be aware that Virchester is primarily based in the heartland of the industrial North of England, but in an audacious merger they joined forces with one the country’s major teaching hospitals in

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

JC: Anterior pituitary disorder following head injury. St.Emlyn’s

For reasons which I can’t discuss here I’m quite interested in the incidence of pituitary axis dysfunction following head injury, and indeed in the outcomes following all severities of head injury that we see  in

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

JC: Updated NICE Head Injury Guidelines – Worth a Scan?

In the last few days Twitter has been buzzing (does twitter buzz? Or does it chirp? Tweet?) with EM practitioners getting to grips with the latest iteration of the NICE Head Injury Clinical Guideline, updated

JC: Family presence for Brain Death Evaluation. St.Emlyn’s

Here in Virchester we believe that families are important. Natalie has written before about the benefits of family presence during paediatric resuscitation and it’s pretty much standard practice in both our virtual paeds and adult

JC: Clopidogrel + head injury = CT?

We already know that patients taking warfarin are at very high risk of intracranial haemorrhage (ICH) after head injury, and that delayed bleeds aren’t so uncommon either.  In fact, we’ve even discussed whether such patients

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You Snooze, You Ooze: Anticoagulants and Minor Head Injury

We’re lucky to have NICE guidelines in the UK.  A couple of years ago, on a visit to the US, one of my collaborators from the US mentioned how jealous he was that we have

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