We’re always talking about reducing health care costs. One of the ways major ways to reduce costs is to stop ordering unnecessary tests. Let’s talk about CT scans for a minute. CT scans can cost anywhere from $300-1500 per scan of the body part for your patient, with CT head Read more…
Today’s Morning Report is courtesy of Dr. Caputo! Penetrating Neck Injuries Zone I: Extends from the clavicle to the cricoid cartilage and includes the thoracic inlet Subclavian vessels, brachiocephalic veins, common carotid arteries, aortic arch, and jugular veins, trachea, esophagus, lung apices, cervical spine, spinal cord, and cervical nerve Read more…
(A Review on Chest Tubes in the Trauma Patient ) Indications for Chest Tube Placement in Trauma Patients Pneumothorax (simple, tension) Hemothorax Esophageal rupture with gastric leak into pleural space Traumatic arrest (bilateral chest tubes) Quick Caveat: Detecting a traumatic pneumothorax in blunt chest trauma: Ultrasound vs Supine AP CXR- ULTRASOUND Read more…
Its time for our next installment of Trauma Drama. I think its time to get into discrete injuries. The first one I want to talk about is blunt neck trauma. The reason I chose this one is that penetrating neck trauma gets all of the attention and gets people excited. Read more…
As per Dr. DRE it’s the next episode: It continues in the trauma bay. A trauma code is called and the room is suddenly full. The initial survey is done. It turns out that the patient is not as bad as the notification phone had said. He has been hit Read more…
The use of IV fluids in Trauma has a long history and the deleterious effect of aggressive fluid resuscitation is almost as long. In 1918, WB Cannon published The Preventive Treatment of Wound Shock in JAMA, in which he says that too much fluid is harmful. The history continues from Read more…