The Trauma Pro

APRIL 26, 2024

Unfortunately, it’s generally not feasible to operatively fix the pelvis acutely, and external fixation has limited impact on ongoing hemorrhage. Years ago, we tried to pack the pelvis from the inside (peritoneal cavity), but it never worked very well. Preperitoneal packing of the pelvis (PPP) has now become popular.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

The Trauma Pro

OCTOBER 25, 2024

This is probably because there is no need to perform repeated operations to insert and remove the preperitoneal packs when angiography is used. Authors from several well-known trauma centers collaborated to re-analyze data from the CLOTT study. All too often, prophylaxis is delayed due to solid organ or head injuries.

Fractures 113

Fractures Head Injuries Operations Ultrasounds 113

RebelEM

AUGUST 7, 2023

The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge. that would not be possible in an agitated/combative patient.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

Don't Forget the Bubbles

JUNE 30, 2023

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. You will be running the show today, and you want to use your preparation time well. These procedures require an experienced operator. These procedures require an experienced operator.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

PHEM Cast

APRIL 19, 2016

Remember this, especially when managing adolescents; children may not be as interactive or as co-operative as you would expect for their age. Significant cervical spine injury in children is exceptionally rare. Patients had high cord injuries. Three cases described: high speed RTC, traumatic cardiac arrest.

Head Injuries 52

Head Injuries Ambulance Services Hospitals Leadership 52

Mind The Bleep

MAY 1, 2024

If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately. Appropriate first line management will help protect and resuscitate the soft tissues and keep the fracture still either to allow healing or until definitive management (operative fixation) is possible.

Fractures 52

Fractures Head Injuries Documentation/Coding Dislocations 52

Rural Doctors Net

AUGUST 30, 2013

Allocate someone to activate ambulance, other clinical personnel, notify local hospital and give retrieval services a head’s up. I’d raise here the concept of his ‘anticipated clinical course’ – he’s going to OT and has airway injury that will likely progress – so you might as well intubate on these grounds alone.

Burns 52

Burns Hospitals Ambulance Services Wellness 52