13 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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... with clenched fist ... dislocation • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture (scaphoid ... radial styloid fracture ... , median nerve injury ... • ED Management ... #Orthopedics #Sports
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
/hemorrhage on FAST ... Has femur fracture ... intra-abdominal injury ... #Positive #trauma ... #clinical #ultrasound
Positive FAST exam at the caudal liver edge

Ultrasound isn't as sensitive for solid organ injury, but
Positive FAST exam ... edge Ultrasound ... for solid organ injury ... Injury to spleen ... #positive #trauma
Orthopedic Splints, Casts, Plasters, Traction and Frames
Upper Limb and Spine 
 • DUNLOP TRACTION: Used in
cervical spine injury ... cervical spine injury ... Used acutely in management ... exsanguinating pelvic trauma ... #Orthopedics #management
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
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
after long bone fractures ... fibula) and hip fractures ... after an acute injury ... H/O antecedent trauma ... of spinal cord injury
Pelvic Hematoma on POCUS
Fall w pubic ramus fracture. Pelvis FAST. Not all free fluid is simple
w pubic ramus fracture ... Pelvis FAST. ... clue to pelvic injury ... POCUS #clinical #ultrasound ... #trauma #blood
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... abdomen/pelvis, eFAST ... potential pelvic fracture ... #Pediatrics #Trauma ... Survey #CABCDE #management