Dr. Grock presents today’s Morning Report! C- Spine Immobilization: A Critical Review of the Evidence Cervical collars have been in use for over 30 years, yet, there have been no randomized, controlled trials evaluating their effectiveness. Per the most recent Cochrane review in 2009, there is no evidence Read more…
Thanks to Dr. Waldman for today’s Morning Report! Penile Fractures Definition: But there’s no bone… traumatic rupture of the corpus cavernosum Mechanism: Sudden blunt trauma or abrupt lateral bending of the penis in an erect state Breaks the markedly thinned and stiff tunica albuginea (during an erection Read more…
Burr Hole Craniostomy Mark H Wilson, David Wise, Gareth Davies and David Lockey. “Emergency burr holes: “How to do it” “Scand J Trauma Resusc Emerg Med. 2012; 20: 24. 1) Ensure indications are appropriate 2) Ensure patient is supine and physiologically optimised (intubated, ETCO2 4.5kPa, normotensive, c-spine protection, mannitol/hypertonic saline Read more…
We’ve all experienced the scenario where a trauma patient appears in your trauma bay, blood pressure barely palpable, whose IV line is near impossible to obtain. Solution? IO access. A wonderful advancement in trauma care that has led to the stabilization of critically ill patients in whom IV access cannot Read more…
Thanks to Dr. Ting for today’s Morning Report! Chronic SCI Complications of chronic SCI – DVT/PE – Decubitus ulcers – Pneumonia (even down to thoracic levels although only C3-5 controls the diaphragm due to impaired cough reflex) – Increased prevalence of CAD – UTI/renal stones due to bladder Read more…
CCT 4 AM. Trauma Note – GSW to abdomen. On arrival, wound to RUQ, another to L flank. HR 130s, BP 70s/40s. The CCT junior throws in two 14 gauge peripheral IVs, and attaches the trauma lines. Two liters NS go in in minutes. BP comes up to 100s/60s. FAST Read more…
Today’s Morning Report is presented by Dr. Alsup! Unstable Cervical Spine Fractures “If thou examinest a man having a dislocation in a vertebra of his neck, shouldst thou find him unconscious of his two arms and his two legs on account of it, while his phallus is erected on Read more…
“The heart was made to be broken.” ― Oscar Wilde Blunt thoracic trauma accounts for 25% of all traumatic fatalities. Blunt Cardiac Injury (BCI) has been quoted to be present in up to 76% of blunt thoracic trauma patients. BCI encompasses a spectrum of injuries from myocardial contusion to myocardial Read more…
Here’s Dr. McMillan with today’s Morning Report! The Glasgow Coma Scale
Dr. Reisman presents today’s Morning Report! What is the evidence for pre-hospital spinal immobilization of trauma patients? Routine spinal immobilization in trauma patients: What are the advantages and disadvantages? S. Abram, C. Bulstrode The surgeon: journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 1 August Read more…