9 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
Has femur fracture ... intra-abdominal injury ... hemorrhage #FAST #Positive ... #trauma #clinical ... #ultrasound
Positive FAST Exam Perihepatic Window

Multiple pts. with significant injuries from MVC. Young adult with femur fracture
Positive FAST Exam ... adult with femur fracture ... #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
Pelvic Hematoma on POCUS
Fall w pubic ramus fracture. Pelvis FAST. Not all free fluid is simple
w pubic ramus fracture ... clue to pelvic injury ... with FAST exam ... #clinical #ultrasound ... #trauma #blood
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Airway Compromise - Position ... Binder) • Use POCUS ... /pelvis, eFAST exam ... potential pelvic fracture ... Survey #CABCDE #management
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