Today’s Morning Report is courtesy of Dr. Melton! Case: A 53 YOM BIBEMS in cervical spine precautions after being rear-ended in a motor vehicle collision. He complains of mild lateral neck pain from the seatbelt and tingling in his right…
Tag: trauma
Morning Report: 7/11/2013
First Morning Report of the new academic year is presented by Dr. Aluisio! Tranexamic Acid (TXA) What: Synthetic amino acid derivative of lysine that inhibits fibrinolysis by competitively inhibiting plasminogen (a TPI that prevents fibrin degradation). How:…
Morning Report: 6/25/2013
Thanks to Dr. Desmond for today’s Morning Report! Pediatric Thoracic Trauma Thoracic trauma in children is relatively uncommon. Usually from high force injuries such as falls or motor vehicle accidents (75%) and is usually blunt. When in isolation, mortality…
Morning Report: 5/21/2013
Thanks to Dr. McMillan for today’s Morning Report! Here’s the case: Female passenger of MVC presents with abdominal pain. Home pregnancy test just positive. Trauma in Pregnancy: Both blunt and penetrating a significant cause of maternal injury. …
The ABCs of the Pregnant Trauma Patient.
“Life is tough enough without having someone kick you from the inside.”—Rita Rudner Thankfully, these teeny kicks don’t cause trauma!! Critical illness, including trauma, actually affects less than 1% of all pregnancies in the US. However, this patient population can…
Morning Report: 4/18/2013
Here’s Dr. Kazzi with today’s Morning Report! Blunt Cardiac Injury Right heart most common site of BCI. MVCs and sports injuries are most common. Types of Injury: a) Myocardial contusion b) Chamber rupture (if free wall do not…
ED Thoracotomy–to do or not to do: that is the question.
ED thoracotomies were introduced into medicine circa 1900, with endless debate and controversy to follow. It’s a procedure that no doubt can save a patient’s life, as without this “last ditch” effort, mortality would be 100% in a trauma patient…
Repeating CT head in Minor Head Trauma—does evidence support this reflexive practice?
We’re always talking about reducing health care costs. One of the ways major ways to reduce costs is to stop ordering unnecessary tests. Let’s talk about CT scans for a minute. CT scans can cost anywhere from $300-1500 per scan…