Trauma Archives - Page 9 of 10 - The Emergency Medical Minute

Trauma

Podcast #85: Blast Injuries

Run Time: 4 minutes Author: Dr. Suzanne Chilton Educational Pearls: There are four kinds of blast injuries – primary, secondary, tertiary, and quaternary. Primary injuries involve the actual explosion, this type causes the most deaths. These injuries usually affect organs that involve air meaning lungs, bowels, and ears. These injuries can also affect the reflex…

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Podcast #72: SCIWORA

Run Time: 3 minutes Author: Dr. Suzanne Chilton Educational Pearls: SCIWORA is an acronym for Spinal Cord Injury Without Radiographic Abnormality. This name was appropriate prior to the invention of the MRI, as now MRIs can usually find some abnormality missed on an Xray or CT. This type of injury occurs most often in children because…

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Podcast #70: Pancreatic Injuries

Run Time: 3 minutes Author: Dr. Brent Levy Educational Pearls: Pancreatic injuries are generally associated with blunt trauma and high velocity causing compression of the pancreas into the spine. 3-5% of intra-abdominal trauma injuries involve the pancreas. CT scans are not very effective in diagnosing a pancreatic injury. A clinical diagnosis usually comes from relating history…

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Podcast #63: Better to Have & Not Need

Run Time: 6 minutes Author: Dr. Mark Kozlowski Educational Pearls: When preparing for a critical patient there are seven top preparations that are better to have in the room than to need in the room after their arrival. 1. EPOC 2. Glide Scope and Stylet (suction would also be very nice) 3. Ultrasound – in the…

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Podcast #61: Permissive Hypotension

Run Time: 5 minutes Author: Dr. Martin O’Bryan Educational Pearls: Although ATLS indicates that you should be providing fluids and blood to hypotensive trauma patients to increase blood pressure, the patient has a higher risk of mortality with higher blood pressure. The increase in mortality is due to the dilution of the blood and the…

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Podcast #47: Broken Penis

Run Time: 2 minutes Author: Dr. Erik Verzemnieks Educational Pearls: During an erection the corpus cavanosum fills with blood, when enough stress is placed on the penis during an erection the surrounding tissue can rupture. A broken penis most often occurs during intercourse in the “reverse cowgirl” position. This condition requires surgical repair of the…

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Podcast #43: Dental Injuries

Run Time: 7 minutes Author: Dr. Eric Miller Educational Pearls: There are three types of dental fractures or Ellis fractures. Ellis I is through the enamel, Ellis II is into the dentin, and Ellis III is into the nerve pulp of the tooth. For fractures, any bleeding should be controlled and the tooth should be completely…

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Podcast #37: Aortic Rupture

Run Time: 4 minutes Author: Dr. Jared Scott Educational Pearls: The number first most common reason for sudden death after a motor vehicle accident is head injury, the second is traumatic aortic rupture. Due to the increased pressure of blood in the aorta, a rupture leads to rapid exsanguination. The most common location for a traumatic aortic…

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Podcast #34: Hard Signs for Vascular Injury

Run Time: 1 minute Author: Dr. Nicholas Hatch Educational Pearls: Hard signs of vascular injury include: loss of pulses, severe arterial bleeding, active uncontrolled hemorrhaging, rapidly expanding pulsatile hematoma, and palpable thrill or bruit. Patient with these signs and suspected injury needs to be moved to the operating room ASAP. Soft signs of vascular injury include:…

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Podcast #29: Management of Stingray Injuries

Run Time: 3 minutes Author: Dr. Eric Miller Educational Pearls: Do not urinate on the stingray envenomation site – does not work for jellyfish either. First, wash the wound thoroughly with warm, not hot, water to denature the proteins in the venom. Second, care for the penetration wound and explore for a foreign body with…

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