Shoulder Dislocations in Austere Environments – A Novel Approach

This month’s meeting of our Wilderness Medicine group discussed acute shoulder dislocations in the austere environment. Before we begin, let’s consider the following questions: Can the diagnosis of anterior shoulder dislocation be made clinically? Do all patients with anterior shoulder dislocations need a pre-reduction x-ray? If you answered ‘yes’ to Read more…

Abdominal Compartment Syndrome

By: Yonatan Yohannes, MD Abdominal Compartment Syndrome Who: The critically ill. Most commonly in shock, burn patients, polytrauma patients.   What: Primary -> abdominopelvic disease/injury: trauma, pancreatitis, surgery, etc. Secondary -> conditions originating elsewhere: sepsis, burns   When: Normal IAP (intra-abdominal pressure) 5-7mmHg IAH (intra-abdominal hypertension) IAP ≥ 12mmHg ACS Read more…

Deep Space Neck Infections in the ED

Deep Space Neck Infections! Anatomy Image from: http://www.uptodate.com/contents/image?imageKey=PEDS%2F74998&topicKey=ID%2F3415&rank=1~17&source=see_link&search=deep+neck+infection&utdPopup=true   Types Peritonsillar space (abcess) Parotid space Submandibular space (Ludwig’s angina) Pretracheal space Prevertebral space Parapharyngeal space Retropharyngeal & danger space   History & Physical Exam Findings – Dysphagia                           Read more…