Archive for January 23rd, 2012

The Choking Game

by Paul Rega, MD — published on January 23rd, 2012

http://www.medicalnewstoday.com/releases/240538.php

Medical News Today

Alarming Number Of Texas Teens Playing The Choking Game

“……The study was based on a survey completed by 837 students at a Texas university. Among the findings were:

  • 16% percent of students reported having played the game; 72% reportedly played the game more than once
  • Males were more likely to have played than females
  • The average age when students first played the game was 14
  • 90% of those who played the game first heard about it from peers
  • Most students reported that others were present when they first played the game
  • Curiosity about the effects of the Choking Game was a primary motivation for playing the game
  • Learning about the potential dangers in engaging in this activity served as a deterrent for the majority of non-participants. …”
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categories: Emergency Medicine

Minor TBI + Coumadin: What to do??????

by Paul Rega, MD — published on January 23rd, 2012

http://pubget.com/paper/22244878?title=Management+of+Minor+Head+Injury+in+Patients+Receiving+Oral+Anticoagulant+Therapy%3A+A+Prospective+Study+of+a+24-Hour+Observation+Protocol

Management of Minor Head Injury in Patients Receiving Oral Anticoagulant Therapy: A Prospective Study of a 24-Hour Observation Protocol

Ann Emerg Med  () (2012) PMID 22244878
 
“…. For patients receiving warfarin who experience minor head injury and have a negative initial head CT scan result, a protocol of 24-hour observation followed by a second CT scan will identify most occurrences of delayed bleeding. An initial international normalized ratio greater than 3 suggests higher risk.”
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categories: Emergency Medicine