Archive for category: Trauma

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 […]

Social Media And Critical Care (SMACC)

21 Mar
March 21, 2014

This 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 of emergency medicine and critical care. […]

Is ATLS wrong about palpable blood pressure estimates?

01 Nov
November 1, 2013

In Advanced Trauma Life Support (ATLS), we learned that a carotid, femoral, and radial pulse correlates to a certain systolic blood pressure (SBP) in hypotensive trauma patients.  Specifically ATLS stated:  Carotid pulse only = SBP 60 – 70 mmHg  Carotid & Femoral pulse only = SBP 70 – 80 mmHg  Radial pulse present = SBP […]

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