The EM Educator Series: GU Trauma Worth Knowing

Author: Alex Koyfman, MD (@EMHighAK) // Edited by: Brit Long, MD (@long_brit) and Manpreet Singh, MD (@MprizzleER)

Welcome back to the EM Educator Series. These posts provide brief mini-cases followed by key questions to consider while working. The featured questions provide important learning points for those working with you, as well as vital items to consider in the evaluation and management of the specific condition discussed.

This week has another downloadable PDF document with questions, links and answers you can share with learners as educators in #MedEd. Please message us over Twitter and let us know if you have any feedback on ways to improve this for you. Enjoy!

Case #1:

A 42-year-old male is brought in by EMS after MVC with severe pelvic trauma. He has evidence of external injury to genitalia, and urine output is dark red.

Case #2:

A 12-year-old lands directly on some monkey bars. She is complaining on pelvic pain and difficulty urinating.

Considerations:

• What are the mechanisms of GU injury?
• What should you consider regarding renal injury?
• What about ureter injuries?
• What types of bladder injuries can occur, and how are they diagnosed and managed
• What do you need to know about urethral injuries?
• How do you manage external genitalia injuries?

Suggested Resources: 

• Articles:
  • emDOCs – Genitourinary Trauma: Presentations, Evaluation, and Management Updates
  • LITFL – Trauma! Genitourinary Injuries
  • Emergency management of renal and genitourinary trauma: best practices update
  • Genitourinary trauma
  • Imaging Genitourinary Trauma
• Podcasts:
  • FOAMcast – Episode 65 – Contrast-Induced Nephropathy and Genitourinary Trauma