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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Ultrasound G.E.L. RUSH in trauma Infographic

Ultrasound G.E.L. – The RUSH Exam in Polytrauma

The RUSH exam is a family favorite. It’s a reliably easy to recall hypotensive protocol that uses ultrasound to help determine the etiology of a patient’s shock. Well here’s a new idea – trauma patient’s can be in shock too, right? So maybe we should perform a full RUSH exam instead of just a measly EFAST? Well…hold your horses there kiddo, there may be more to think about with this one.

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