Archive for category: Trauma

October 2015 REBELCast: The All Thoracotomy Episode

08 Oct
October 8, 2015

Welcome 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 of the ED thoracotomy is to […]

Ten (Trauma Resuscitation) Commandments

10 Sep
September 10, 2015

“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. Life pearls like “Never let ‘em […]

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

20 Jul
July 20, 2015

Background: 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 >65 years of age account for […]

The PROPPR Randomized Clinical Trial

04 Feb
February 4, 2015

In 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 have been no large, multi-center, randomized […]

Medical Myths in the Management of Dog Bites

17 Jul
July 17, 2014

Animal 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 and they should all be prophylactically […]

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