I will often dump on the use of secondary analysis to drive clinical practice but studying children with trauma is not easy, so you have to take the data from where you can.
From the PECARN group they went back and mined the original 42,112 children that were used in the original studies to assess the prognostic utility of isolated vomiting after head injury for the outcome of clinically important traumatic brain injury and traumatic brain injury on computed tomography (CT).
Kids vomit all the time, for everything, so if a child has only vomiting after head trauma what are the chances they will have a clinically significant or CT positive finding (read what is the pre-test probability). Read here to find out…
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
The following two tabs change content below.
adam.aluisio
Latest posts by adam.aluisio (see all)
- Putting the EGDT trials together… - June 4, 2015
- Kids, Head Trauma and Vomiting - May 7, 2015
- “I felt like I was going to pass out” - April 2, 2015
- TXA is not just for trauma, maybe… - February 12, 2015
- Mg in severe asthma does it make a difference compared to placebo? - January 8, 2015
Great post! I just wanted to put in the reference for people who can’t access our library website
Peter S. Dayan, MD, MSca, , , James F. Holmes, MD, MPHb, Shireen Atabaki, MD, MPHd, John Hoyle Jr., MDe, Michael G. Tunik, MDf, Richard Lichenstein, MDg, Elizabeth Alpern, MD, MSCEh, Michelle Miskin, MSi, Nathan Kuppermann, MD, MPHb, c.
Association of Traumatic Brain Injuries With Vomiting in Children With Blunt Head Trauma.
Annals of Emergency Medicine Volume 63, Issue 6, June 2014, Pages 657–665 doi:10.1016/j.annemergmed.2014.01.009