10 results
Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No
Minor blunt trauma ... No obvious injury ... Grade 4 spleen fracture ... #Clinical #Ultrasound ... #Trauma #POCUS
Open Globe Injury on POCUS
Wood off of saw to the eye ==> significant edema, ecchymosis, bleeding
Open Globe Injury ... #Injury #POCUS ... #open #clinical ... #ocular #ultrasound ... #trauma
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
hemorrhage on FAST exam ... Has femur fracture ... intra-abdominal injury ... hemorrhage #FAST #Positive ... #trauma #clinical
Positive FAST Exam Perihepatic Window

Multiple pts. with significant injuries from MVC. Young adult with femur fracture
Positive FAST Exam ... adult with femur fracture ... Grade V splenic injury ... #Clinical #POCUS ... Ultrasound #RUQ #Trauma
Positive FAST exam at the caudal liver edge

Ultrasound isn't as sensitive for solid organ injury, but
Positive FAST exam ... for solid organ injury ... POCUS is not sensitive ... Injury to spleen ... #trauma #clinical
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Airway Compromise - Position ... Binder) • Use POCUS ... /pelvis, eFAST exam ... potential pelvic fracture
Pelvic Hematoma on POCUS
Fall w pubic ramus fracture. Pelvis FAST. Not all free fluid is simple
Pelvic Hematoma on POCUS ... w pubic ramus fracture ... clue to pelvic injury ... with FAST exam ... #trauma #blood
Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary
Strike Electrical Injury ... may result in trauma ... ORTHO- fracture ... OCULAR- cataracts ... #clinical #video
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
may result in trauma ... ORTHO- fracture/ ... OCULAR- cataracts ... Cardiac biomarkers positive ... #clinical #video
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... on physical exam ... This patient’s clinical ... findings and clinical ... This post will focus