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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

Intervertebral disks lie between vertebrae and act as shock absorbers. September 30, 2017. Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review. 2-4 Around 7% of all blunt trauma injuries include the thoracic and lumbar regions. Spine fracture. 2020;6(1):67.

EMS 106
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. doi:10.1155/2017/6014967 Light RW. J Emerg Trauma Shock. Published 2017 Sep 7. Penetrating wounds may allow air to flow into the pleural space from outside the body or from internal disruption of the visceral pleura. Can Respir J.

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Case Report: a High-Voltage Victim

ACEP Now

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. 4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. Click to enlarge.)

Burns 52
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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link]. 4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. Published 2017 Jan 18.