9 results
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... anterior sail sign ... II-IV, pending orthopedic ... Radiology #XRay #Diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
humerus; simple = no fracture ... , complex = fracture ... can't make A-OK sign ... fracture + coronoid ... process fracture
CATCH Predictors for Clinically Significant TBI 
 - GCS Less than 15 at 2 hours post
at 2 hours post trauma ... depressed skull fracture ... exam - Any Sign ... of Basal Skull Fracture ... #Peds #Pediatrics
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Supracondylar Elbow Fracture ... Most common elbow fracture ... cortex • If a fracture ... anterior sail sign ... can't make A-OK sign
Algorithm for Management of Head Injuries in Children
Primary survey:
 • Airway and cervical spine
 • Breathing
fontanelle • Sign ... of basal skull fracture ... mastoid (Battle sign ... #Injury #trama ... #pediatrics #peds
Canadian CT Head Rule 

CT head is only required for minor head injury patients 
with any
depressed skull fracture ... Any sign of basal ... skull fracture* ... Medium Risk (for Brain ... elevation) #Diagnosis
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... ↓ BP is a late sign ... potential pelvic fracture ... cord injury #Pediatrics ... #Trauma #Primary
CHALICE Predictors of Clinically Significant Head Iniury 
History 
 - Witnessed LOC > 5min 
 -
fontanelle - Signs ... of Basal skull fracture ... Predictors #Traumatic #Brain ... #Injury #Diagnosis ... #Peds #Pediatrics
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
he suffered no head ... Vital signs: BP ... Rib Fractures Rib ... of rib fracture ... rib fractures.