A Week in Review: Oct 30th - Nov 4th
Isolated Zygomatic Arch Fractures okay for Outpatient Follow up.
If patient has a "Tripod Fracture" (Zygomatic Arch + Lateral Orbit + Inferior Orbit / Lateral Sinus) Needs urgent OMFS +/- Optho if evidence of occular muscle entrapment
Presentation: Classic Triad: ipsilateral facial paralysis, ear pain, vesicles in auditory canal and auricle
Treatment: Antiviral + Steroids + Analgesia, Consider eye protection (saline drops vs patch)
Keep it on your mind, watch for the "Turtle Sign"
1) Call for help (OB / NICU)
2) McRoberts Maneuver
3) Midline Episiotomy
4) Woods / Corkscrew
5) Deliver Posterior Shoulder
6) Break Clavicle vs Zavenlli (C/S)
Avoid Intentional Hyperventillation
Targe SBP < 140
HOB to > 30 deg
Check for anticoagulants on the medication list
Severe Knee Trauma, not a dislocation or arterial injury, what else could it be?