Archive

Medical Category: Trauma

REBEL Core Cast 54.0 Wound Care I – Foreign Bodies

Take Home Points FBs are a very common complication of wounds. X-ray is poor at detecting foreign bodies US is a tremendous tool and be used dynamically at the bedside to assist w FB extraction Prophylactic antibiotics are not routinely …

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Trauma

REBEL Cast Ep94: The ITACTIC Trial – Viscoelastic Hemostatic Assay Augmented Protocols

Background: Current trauma resuscitation prioritizes control of bleeding and uses massive transfusion protocols to prevent and treat coagulopathy. This is typically done in the form of massive transfusion protocols delivered in proportions that approach the composition of whole blood. Two …

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Trauma

Blunt Cerebrovascular Injury (BCVI): Universal Imaging for All?

Background: Blunt cerebrovascular injury (BCVI) is defined as carotid or vertebral artery injury due to blunt trauma.  There are several screening criteria that have been developed to screen for this injury, however a significant number of patients may still be …

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Trauma

IM Administration of Tranexamic Acid

Background: We have covered tranexamic acid (TXA) on this blog in several posts. Its use has been studied for everything that bleeds from abnormal uterine bleeding to GI hemorrhage and from multisystem trauma to intracranial hemorrhage. While over the past few …

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Trauma

Orbital Compartment Syndrome: Pearls and Pitfalls for the ED Physician

Orbital compartment syndrome (OCS) is a rare, vision-threatening diagnosis that requires rapid identification and immediate treatment for preservation of vision.1-4 As with other compartment syndromes, rapidly increasing and sustained high intraocular pressures (IOP) can result in devastating consequences. OCS causes …

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Head, Eye, Ear, Nose, and ThroatTrauma

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