Archive

Medical Category: Trauma

First do no Harm: Rethinking Our Approach to Intubation in Trauma

Airway management as the first priority has been the backbone of resuscitation for years. “Address A first, before moving to B and C,” is what we are taught and what we go on to teach successive generations of learners. For …

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Trauma

REBEL Core Cast 10.0 – Blunt Cardiac Injury

Take Home Points on Blunt Cardiac Injury No single test can be used to exclude BCI. However a thorough physical exam combined with a 12-lead EKG, troponin measurement, and echocardiography can be used to characterize BCI and direct care Obtain …

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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

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