Tag: traumatic brain injury

1. Optic nerve sheath dilation, defined as greater than 5.0mm on ultrasound, had a high specificity for indicating elevated intracranial pressure, while less than 5.0mm had a high sensitivity to help rule out elevated intracranial pressures. 2. Patients presenting with a suspected traumatic brain injury and a positive ultrasound result...

1. Optic nerve sheath dilation, defined as greater than 5.0mm on ultrasound, had a high specificity for indicating elevated intracranial pressure, while less than 5.0mm had a high sensitivity to help rule out elevated intracranial pressures. 2. Patients presenting with a suspected traumatic brain injury and a positive ultrasound result...

1. In this study of a cohort of high school students from Wisconsin enrolled in 1957, participation in high school football was not associated with increased risk of cognitive impairment when compared to non-participants. 2. The risk of depressive symptoms at 65 years was lower for high school football participants...

Acetaminophen for Fever in Critically Ill Patients with Suspected Infection Acetaminophen is a commonly used anti-pyretic in patients admitted to the hospital, including those admitted to an intensive care unit (ICU) with potential infection/sepsis.  The benefits and potential risks of treatment of fever in ICU patients have been debated for...

1. Less than half of children (48%) under age 2 who presented to a hospital with concern for physical abuse or non-accidental injury had underwent an evaluation for occult fractures. 2. Only half of infants under age 1 who presented with concern for a non-motor vehicle crash-related traumatic brain injury (TBI)...

In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Association of the 2011 ACGME Resident Duty Hour Reforms With Mortality and Readmissions Among Hospitalized Medicare Patients In 2011, the Accreditation Council for Graduate Medical Education (ACGME) instituted a number of resident...

In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Effect of Erythropoietin and Transfusion Threshold on Neurological Recovery After Traumatic Brain Injury Patients with traumatic brain injury (TBI) commonly develop anemia, which can cause secondary injury and worsen neurological outcomes. Erythropoietin has...

Image: PD 1. Male patients with mild traumatic brain injury demonstrated increased white matter abnormalities in the uncinate fasciculus compared to female-matched controls in brain MRI scans. 2. Uncinate fasciculus (UF) abnormalities detected by MRI was an independent risk factor for persistent post-concussion syndromes. Evidence Rating Level: 3 (Fair) Study Rundown: The effect...

Image: PD 1. Pediatric TBI more likely to have skull fracture, epidural hematoma, and lower Rotterdam CT scores. 2. Pediatric TBI less likely associated with contusion, SDH, SAH, and compression of the basal cisterns. Evidence Rating Level: 3 (Average) Study Rundown: TBI is a significant cause of morbidity and mortality in the pediatric...

Image: PD  1. Absence of six established predictors was found to have close to 100% negative predictive value for clinically-important traumatic brain injury (ciTBI) when applied to head trauma patients under 18 years of age.  2. An algorithm was proposed, applying these predictors, in order to prevent physicians from using unnecessary...