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…
Read MoreRun 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:…
Read MoreRun 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…
Read MoreRun Time: 1 minute Author: Dr. John Winkler Educational Pearls: REBOA stands for Resuscitative Endovascular Balloon Occlusion of the Aorta. The balloon is often placed via femoral artery and placed in the aorta at the level of the heart to increase perfusion to the brain in trauma. Significantly less invasive than a thoracotomy and has less…
Read MoreRun Time: 3 minutes Author: Dr. Nicholas Hatch Educational Pearls: TXA is short for tranexamic acid. Most often use in the ED is with severe bleeding or problematic bleeding associated with trauma. Crash II trial determined the benefit of TXA is only applicable for about three hours after a trauma. Typical dosing is 1 gram in…
Read MoreRun Time: 15 minutes Author: Dr. Donald Stader Educational Pearls: Trauma ABCs change in pregnancy. A: Progesterone dilates to blood vessels in the nose and the back of the throat changing the airway in pregnant women, causes intubation to be more difficult because of increased redundant tissue. B: Pregnant women desaturate very quickly because of metabolic…
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