Dental Trauma… In a Rush
Author: Catherine Buckley, MD
Not all dental pain is a simple- pain control, quick mouth exam, apology for not being a dentist, and list of free dental clinics in the area. Sometimes we actually get to do something!
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Concussion Assessment and Management in the ED…in a Rush
Author: Shivon Manchanda We recently had a wonderful guest lecture from Elizabeth Pieroth, PsyD, ABPP, the Director of the Concussion Program at Midwest Orthopedics, about how to approach concussions in the ED. This post is a summary of that lecture. Initial Assessment: The initial assessment of a suspected concussion patient requires the examination of three…
5 Minute Journal: Belly Babies: Pediatric Blunt Trauma Decisions
Author: Dr. Shayna Adams Background: The paper validates a prediction rule that aims to identify kiddos with intra-abdominal injuries after blunt trauma. The prediction rule was derived from a previous study that looked at about a thousand children and found six factors to be related to intra-abdominal injury. In order to trigger the prediction rule, the kiddo…
5 Minute Journal: Canadian C-Spine
Author: Dr. Keya Patel
Background
Each year, more than 1 million patients are treated in the emergency department for blunt trauma and potential C-spine injury. Cervical CT remains the mainstay of imaging in assessing for injury. Here, we review the Canadian C-spine Rule in determining the need for advanced imaging such as CT.
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Massive Transfusion Protocol
Intro
This blog post covers identifying the need for MTP, MTP protocol, goals of therapy, evidence behind MTP, adjuncts to MTP, and newer testing for coagulopathy. There is also a review of blood transfusion reactions.
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Burns
Here’s some how to’s when it comes to burns. First off- do your ABCs. Get your history from the patient, from family, from EMS. You need to figure out the mechanism of this burn. Was this an explosion? You may need to worry about associated injuries. Was this inside? You may need to worry about…
5 Minute Journal: PECARN Head CT Rule
PECARN Head CT Rule
Dr. Brian Yu did a great 5-minute summary on the PECARN head CT Rule that was published in 2009. It’s an ambitious study that involved 25 emergency departments and included 42,412 patients under the age of 18 years who presented with blunt head trauma. It further risk stratified these patients into 2 major cohorts of <2 years of age and 2-18 years of age. It excluded patients with trivial injury, penetrating trauma, neurologic history, and those with prior imaging. The outcomes this study aimed for were clinically important findings including death, need for neurosurgical intervention, intubation >24 hours, and admission >2 nights. …
Radiology: Forearm Fractures
Here’s a summary of the more common forearm fractures and what to do about them.
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Radiology: Pelvic XR & Fractures
This week’s radiology review focused on Pelvic Ring Fractures. Again, it’s only a 5-minute review so we dedicated it to the AP view. However, in a detailed work-up, additional views (including inlet/outlet and likely CT) will be obtained. Quick Review of AP Pelvic Xray Classifying Pelvic Ring Fractures— As is anything in Emergency Medicine, start…
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