Spinal trauma is a rare yet important category of injury. Children account for 10% of spinal injuries, but account for 25% of the mortality. Pediatric patients who present with possible spinal injury pose several unique challenges to the emergency department provider. Unique anatomic and developmental features place pediatric patients at risk for spinal injuries that are not typically seen in the adult population. In addition, unlike adult patients, there is little consensus on the most appropriate workup for potentially injured patients. When evaluating pediatric patients, practitioners must balance the limited available clinical data with the risks and benefits of various imaging modalities. The authors review the spectrum of pediatric spinal injury.
Moderate or severe EEG abnormalities are frequently seen in patients during therapeutic hypothermia following cardiac arrest and these findings are associated with poor outcomes.
NSAIDs and cardiovascular risk; new antithrombotic guidelines; warfarin during surgery; Pfizer selling Viagra online; azithromycin and cardiovascular risk; and FDA actions.
Subarachnoid hemorrhage (SAH) is a stroke syndrome, defined as rapidly developing neurological dysfunction and/or headache because of bleeding into the subarachnoid space (the space between the subarachnoid membrane and the pia mater of the brain or spinal cord), which is not caused by trauma.1 It is a dire condition with high morbidity and mortality.
