Archive

Medical Category: Trauma

If You’re Going to do the Thoracotomy…do a Clamshell

Every now and again someone raises the issue on social media about resuscitative thoracotomy.  What are the indications (we have the EAST guidelines for that), what are the risks (highlighted in this important recent paper), and of course, whether EM ...

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Trauma

Tramadol or Tramadont

Background: Multiple guidelines recommend tramadol or NSAIDs as 1stline treatment for patients with osteoarthritis (OA).  Tramadol is viewed as a weak opioid because it binds to the mu receptor at a significantly lower affinity than morphine.It also inhibits the reuptake of serotonin ...

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Trauma

JC: Time to put the REBOA Balloon Away? Maybe, Maybe Not…

The management of the critically hemorrhaging trauma patient has seen a large amount of change over last decade, from bringing care far forward to the field to early use of blood products to civilian translation and application tourniquets to name a ...

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Trauma

REBEL Core Cast 6.0 – Traumatic Arrest

Take Home Points: If the patient is a clear traumatic arrest, compressions aren’t indicated and, instead we should focus on the important interventions that need to be done. Ultrasound can be incredibly helpful in traumatic arrest. If you’ve got a ...

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Trauma

Pediatric Concussion…Why is it such a headache?!

Diagnosis and management of concussion in children is part of our everyday bread and butter in the Emergency Department. Given the estimated 1.1 million – 1.9 million pediatric concussions we see annually in the United States, it is no wonder ...

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PediatricsTrauma

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