Archive for category: Trauma

American College of Emergency Physicians (ACEP) Conference 2016

20 Oct
October 20, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThis years ACEP 2016 conference took place in Las Vegas, NV from Oct 16th – 19th.  There was greater than 350 courses, labs, and workshops given throughout the week.  It was impossible to make all of these great lectures, but I was able to take away some very important […]

What is the Best Anatomic Location for Needle Thoracostomy?

21 Mar
March 21, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Currently the Advanced Trauma Life Support (ATLS) guidelines recommend initial treatment of decompression of a tension pneumothorax, as needle thoracostomy (NT) using a 5cm angiocatheter at the 2nd intercostal space (ICS2) in the mid clavicular line (MCL). With the growth of size in our population worldwide, there has […]

Clinical Decision Instruments in Minor Head Trauma – New Orleans + Canadian Decision Instruments

18 Jan
January 18, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: CT scans are frequently done after minor head injury to evaluate for intracranial hemorrhage. While CT scans are an excellent tool for diagnosing or ruling out this disorder, they are not without harms including radiation exposure, cost and department delays. Much of the time, CTs are negative, or […]

Should We Give Fingertip Amputations with Exposed Bone Prophylactic Antibiotics?

14 Dec
December 14, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Fingertip amputations are not an uncommon injury seen in the emergency department. Treatment options range from healing by secondary intention to flap coverage or replantation. Selection of the appropriate treatment modality depends on the nature of the injury, the physical demands of the patient, and the patient’s co-morbidities. […]

October 2015 REBELCast: The All Thoracotomy Episode

08 Oct
October 8, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome to the October 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Trauma, specifically ED Thoracotomy. Now we all know that ED thoracotomy is a last ditch salvage effort, performed under specific clinical circumstances, during a traumatic arrest. The purpose […]

Ten (Trauma Resuscitation) Commandments

10 Sep
September 10, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket“I’ve been in this game for years, it made me an animal There’s rules to this sh*t; I wrote me a manual” — Notorious BIG You know, whether you sling crack rocks or not, there are some sage words of wisdom in the late Notorious BIG’s Ten Crack Commandments. […]

Minor Head Trauma in Anticoagulated Patients: Admit for Observation or Discharge?

20 Jul
July 20, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: In elderly patients on chronic anticoagulation (i.e. warfarin and clopidogrel), falls have been shown to increase the incidence of intracranial hemorrhage (ICH) versus those not on anticoagulation (8.0% vs 5.3%). Mortality in those with ICH on anticoagulation is also higher than those who are not (21.9% vs 15.2%). Patients […]

The PROPPR Randomized Clinical Trial

04 Feb
February 4, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketIn the United States, trauma is the leading cause of death among patients between the ages of 1 and 44 years of age and the third leading cause of death overall. Approximately 20 to 40% of trauma deaths occur after hospital admission and are a result of massive hemorrhage.  There […]

Medical Myths in the Management of Dog Bites

17 Jul
July 17, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketAnimal bites are a common cause of injury in the United States. About 4.5 million Americans/year (5% of all traumatic wounds in the ED) will sustain a bite injury. Dog bites compromise a majority of these wounds. The classic teaching is that dog bites should not be closed primarily […]

Social Media And Critical Care (SMACC)

21 Mar
March 21, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThis year I was fortunate enough to attend the Social Media And Critical Care (SMACC) conference from Mar 19th – 21st, 2014 at the Gold Coast Australia, also known as SMACCGOLD.  SMACC is a modern, academic meeting, mixed with on-line technologies to deliver innovation in education in the fields […]

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