Category Archives: Trauma

Burn Pearls — Regions Emergency Medicine Critical Case conference, Discussion led by Dr. Cullen Hegarty with Dr. Frederick Endorf and Dr. William Mohr from Regions Hospital Burn Unit When deciding to intubate “early” an alert, talking patient: subjective dyspnea is key … Continue reading

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Midfoot Lisfranc Injuries

Midfoot Lisfranc Injuries Dr. Jonathan Thompson and Dr. Ryan Pfannenstein Definition: any fracture/dislocation to midfoot tarsal-metatarsal joint complex Frequently not recognized — initially missed 20% of the time Insufficient treatment leads to chronic dysfunction 2nd MT is the keystone to … Continue reading

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Traumatic Pelvic Injuries in Children

Presented at Regions Hospital Multidisciplinary Trauma Conference Elizabeth Weber MD Department of Orthopedic Surgery, Gillette Children’s Hospital Rare incidence Most common cause of death is concomitant CNS injury (vascular injury only accounts for 0.3% mortality — 10 times greater in … Continue reading

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Compartment Syndrome Pearls

Compartment Syndrome Pearls Dr. Rebecca Gardner — Regions Emergency Medicine Critical Case Conference September 13, 2012 75% of cases are associated with a fracture Initial signs are severe pain/pain out of proportion and pain with passive motion Patient symptoms, particularly … Continue reading

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Pelvic Injuries Pearls — from talk given by Dr. Thuan Ly, Regions Hospital Orthopedic Surgeon, on September 6, 2012 Stable pelvic injuries in the elderly, e.g. low mechanism, fall from standing Check Hgb every 6 hours until stable. Sclerotic vessels … Continue reading

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Rhabdomyolysis and Crush-Related Injuries

Rhabdomyolysis and Crush-Related Injuries Multidisciplinary Critical Care Conference by Dr. David Dries July 12, 2012 Myoglobin — cause of 10% of cases of acute kidney injury (AKI) in US Up to 50% of cases of rhabdomyolysis will have AKI Long … Continue reading

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Pediatric Skeletal Imaging and Non-accidental Trauma — August 18, 2011

Pediatric Skeletal Imaging and Non-accidental Trauma — by Dr. David Lee Clavicle — most commonly injured bone of shoulder in infants and young children — fall on outstretched arm or a direct blow AC separation associated with coracoid fx Sternoclavicular … Continue reading

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Pediatric Imaging — July 28, 2011

Pediatric Imaging by Dr. David Lee While CT does not account for the majority of studies, it does account for the majority of radiation. Study at pediatric trauma center found that the  typical peds trauma patient exposure to radiation to … Continue reading

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