trauma

A 23-year-old male is brought in by EMS from the scene of a severe accident. He is hypotensive and tachycardic, with a mangled right lower extremity and right upper extremity. EMS applied a tourniquet to both the right upper and lower extremity. Your initial primary survey reveals properly placed tourniquets. With inward pressure on the iliac wings, you detect pelvic instability. What’s the diagnosis, and what’s your next step in your evaluation and treatment?

Welcome back to the EM Boards Survival Guide. This week we cover Trauma!

Trauma to the neck encompasses a wide array of separate injuries. This post in the EM educator series looks at several cases with questions concerning these injuries.

The patient with neck pain after a normal CT… Can you trust your CT? Do you need an MRI? This post evaluates these controversies and more.

Genitourinary trauma can present significant challenges. This post provides updates in the evaluation and management of patients with GU trauma.

EM Cases discusses the most important diagnoses to consider, describe how physical exam in queen while CT can misguide you, explain a simple approach to orbital compartment syndrome with retrobulbar hematoma, give you tips on lateral canthotomy, how to pick up subtle hyphemas, why sickle cell patients are high risk, describe the key clinical clues to subtle globe rupture, the role of tranexamic acid in eye bleeds and much more…

This week’s JournalFeed Wrap-Up covers a variety of topics including cricoid pressure in pediatric intubation, time to thrombolysis in ischemic stroke, and risk of thoracotomy.

What are the challenges when dealing with patients with facial trauma? Find out more in this week’s EM Educator Series piece.

The patient with mandibular fracture… Are there any exam maneuvers to assist with diagnosis? What imaging modality should you use for diagnosis? What management is recommended?

The Trauma Chameleon, or the medical emergency disguised as trauma… What should you be on the lookout for?