Archive

Medical Category: Trauma

Should We Give Fingertip Amputations with Exposed Bone Prophylactic Antibiotics?

Background: 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 ...

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Trauma

REBEL Cast Episode 17: The All Thoracotomy Episode

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 ...

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ResuscitationTrauma

Ten (Trauma Resuscitation) Commandments

“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 ...

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Trauma

More Dogma: Epinephrine in Digital Nerve Blocks

You are working as an EM resident and have just evaluated a patient with a right long finger DIP joint dislocation. You perform a digital nerve block with 1% lidocaine with 1:100,000 epinephrine, and go to present to your attending ...

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Trauma

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

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 ...

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Trauma
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