52 in 52 – #4: Emergency Resuscitative Thoracotomy
The ’52 in 52′ series is back with emergency resuscitative thoracotomy.
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trauma
EM@3AM: Bladder Rupture
A 30-year-old male presents to the ED via EMS with severe hip and groin pain after an accident. He denies loss of consciousness, is not on any blood thinners, and currently complains of pain in his hips/groin. Initial assessment on arrival includes vital signs BP 134/86, HR 94, RR 16, SpO2 98% on room air, and temperature 99.0F. He is speaking and mentating appropriately but in significant discomfort when you exam his pelvis. Blood is seen at the urethral meatus, and the pelvis is unstable. There is no obvious perineal ecchymosis at this time. The rest of the exam is unremarkable. What type of injury should be considered with blood at the urethral meatus and suspected pelvic fracture?
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We Have Your Back: ED Presentations, Evaluation, and Management of Spinal Cord Injuries
How should you evaluate and manage the patient with spinal cord injury?
We Have Your Back: ED Presentations, Evaluation, and Management of Spinal Cord Injuries Read More »
Rubbing Salt into a Wound: Potential Harms of IV fluids
What can go wrong with IV fluids? This post from Adam Lalley looks at potential harms.
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Penetrating Wound to the Groin
How do you care for the patient with a penetrating wound to the groin? What should you consider?
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R.E.B.E.L. EM – Dogmalysis: GCS <8, Then Intubate?
This practice is also commonly applied to patients with non-traumatic causes of obtundation. However, the evidence behind this practice is not clear, prompting many to re-examine this oft-repeated lesson.
R.E.B.E.L. EM – Dogmalysis: GCS <8, Then Intubate? Read More »
Retroperitoneal Trauma: ED Evaluation and Management
What do you need to know for the patient with retroperitoneal trauma?
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EM@3AM: Testicular Rupture
A 25-year-old male is brought to the ED by EMS with pain in the right scrotum after a motorcycle crash. The patient was wearing a helmet, could ambulate at the scene, and states his main concern is his right scrotal pain. Review of systems is unremarkable. He has ecchymosis of right scrotum with exquisite tenderness and perineal bruising. What’s the next step in your evaluation and treatment?
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Visual Wednesdays: Pulmonary Contusions
Better late than never…Walid Malki covers pulmonary contusions beautifully.
Visual Wednesdays: Pulmonary Contusions Read More »
Trauma ICU Rounds – Cricothyrotomy Considerations with Scott Weingart
Dr. Scott Weingart joins us on Rounds to discuss a topic that’s of great interest to the both of us – cricothyroidotomy.
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