Let’s imagine you are in this very shift in your critical care area (who knows, maybe this really happened). A 56 year old man was shot in lower abdomen in a robbery, brought in by EMS as a notification and a trauma code was called. But this post is not Read more…
Today’s Morning Report is presented by Dr. Osagie! Minor Head Injury Canadian Head CT Rule: CT is only required for patients with minor head injury with any 1 of the following findings. Patients with minor head injury who present with a Glasgow Coma Scale score of 13 to Read more…
EMS brings in a trauma notification: 40 year old man was so absorbed reading his book (51 Shades of Grey’s Anatomy) while crossing the street that he didn’t see the truck that struck him. He is moaning in pain and lethargic as he is rolled in. VS: BP 86/64, HR 118, RR Read more…
Here’s Dr. Alsup with today’s Morning Report! Hip Dislocations *Dislocations and fracture-dislocations are true orthopedic emergencies History: ABC’s: This injury is a red flag for multisystem injury Associated injury (95%) Assoc acetabular fracture 70% Knee fractures/ligamentous injury/ dislocation 30% Sciatic palsy 10% of patients (peroneal nerve branch) Read more…
Thanks to Dr. Wang for presenting today’s Morning Report! Nailbed Injuries Typically caused by crush injuries with hammer, in doorway, or car doors. Trauma by saws, knives, or drills can also cause these injuries Subungual hematoma: 50% have underlying nailbed laceration Nailbed injuries: nailbed lacerations Workup includes Read more…
How many times have you been in the ER when a trauma patient comes in and you take a pen and paper and begin to calculate an injury severity score? I know what you’re thinking… #aintnobodygottimeforthat… especially in a busy County ER with multiple traumas presenting simultaneously, but hear me Read more…
Over the last decade or two, we have all seen, read, and are hopefully now doing some interesting stuff with the A in the ABC’s. Here, we discuss three interesting topics involving ventilating critically ill patients using less breaths…sometimes way less…sometimes not breathing at all. Part 1 For starters, Read more…
Today’s Morning Report is presented by Dr. Youn! OPEN FRACTURES Definition: any fx that communicates with an overlying disruption of skin and soft tissues Initial assessment: still the ABCs (including pulses, hemorrhage control) Key history: mechanism, time course of event Physical exam: neurovascular status of injury, degree of Read more…
Thanks to Dr. McMillan for today’s Morning Report! Traumatic Brain Injury – American Association of Neurological Surgeons Guidelines Case#1: A 45 year-old man helmeted motorcyclist struck by van, negative loss of consciousness, and currently GCS 15 and appropriate but complaining of headache. CT scan shows a small, lenticular hematoma Read more…