12 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... • Due to injury ... 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
Orthopedic Splints, Casts, Plasters, Traction and Frames
Upper Limb and Spine 
 • DUNLOP TRACTION: Used in
cervical spine injury ... (glass holding position ... Used acutely in management ... exsanguinating pelvic trauma ... #Orthopedics #management
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 ... #trauma #clinical
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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... exacerbation (cardiogenic pulmonary ... deformity (facial trauma ... pneumothorax. esophageal injury ... #criticalcare #management
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
after long bone fractures ... after an acute injury ... H/O antecedent trauma ... covering both gram positive ... of spinal cord injury
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
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Airway Compromise - Position ... potential pelvic fracture ... #Pediatrics #Trauma ... Survey #CABCDE #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Septic Emboli Cause Injury ... Endocarditis #diagnosis #management