Recently released Podcast by HEFT -EMCast (Heart of England Foundation Trust’s Emergency Department) on status epilepticus. Latest evidence digested and made clinically useful. Special emphasis on early and aggressive treatment for those patients who don´t seem likely to recover after initial first-line management. Largely based on the NICE guidelines from 2012.
Freshly published by the UK’s National Institute for Health and Care Excellence: Spinal injury: assessment and initial management 2016. Go via the link to NICE.org.uk or view the whole document here.
Life in The Fast Lane´s take on the use of ketamine in traumatic brain injury. Nice summary of available literature. Sums it up succinctly for those who are still reluctant to use ketamine in this patient group. For more on the same subject, see this article on ketamine and ICP.
The excellent reviewers at The Bottom Line are taking a thorough look at the STITCH (Trauma) trial of 2015. The STITCH (Trauma) trial (Early Surgery versus Initial Conservative Treatment in Patients with Traumatic Intracerebral Hemorrhage) recruited 170 patients into a multicenter RCT to determine whether early surgery (within 12 hours) for traumatic intracerebral haemorrhage would confer a mortality benefit… Continue reading The Bottom Line – The STITCH Trial
A very worthwhile and insightful overview of SAH management in the acute phase. Courtesy of Continuing Education in Anaesthesia, Critical Care & Pain. Read it here.
A quick run-through on acute care of subarachnoid haemorrhage patiefnts by the always-relevant Life In The Fast Lane guys.
The full statement is available here: The Insertion and Management of External Ventricular Drains: An Evidence-Based Consensus Statement – A Statement for Healthcare Professionals from the Neurocritical Care Society. Published in Neurocritical Care 2016.
Intermittent versus continuous cerebrospinal fluid drainage management in adult severe traumatic brain injury: assessment of intracranial pressure burden. This small cohort study (n=62) from 2014 by Nwachuku EL suggests that continuous drainage is associated with better ICP-control. Read the abstract in Neurocritical Care.
An excellent talk by Shock Trauma’s eminent Thomas Scalea on ICP-management. Funny and insightful. I keep going back to this podcast from 2013 every now and then for a bit of inspiration.
Retrospective cohort study by Patanwala and colleagues including 233 head injured patients that required RSI with either rocuronium or suxamethonium. The results reveal that sux was associated with increased mortality in the most severely injured subset, compared with roc. In patients with less severe injury there was no significant difference between the two NMBs. Interesting… Continue reading Roc or Sux in RSI of TBI Patients?
neuroscand.com 