Trauma

Critical Cases - Blunt Myocardial Injury

Blunt chest injury can rarely result in a direct contusion to the myocardium. This "bruise of the heart" can precipiate lethal cardiac arrhythmia, often in a delayed fashion. As you evaluate a trauma patient with complaints of chest pain after blunt injury,  you wonder what the correct workup and management of this potentially fatal condition should consist of....

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Critical Cases - Blunt Myocardial Injury

Blunt chest injury can rarely result in a direct contusion to the myocardium. This "bruise of the heart" can precipiate lethal cardiac arrhythmia, often in a delayed fashion. As you evaluate a trauma patient with complaints of chest pain after blunt injury, yo you wonder what the correct workup and management of this potentially fatal condition should consist of....

Back to Basics: Shock in Trauma

An unconscious 35 y/o male presents from the scene of a motor vehicle versus pedestrian accident.  The patient is intubated and hypotensive but there is no source of external bleeding. FAST is negative. Blood products are given with no response. CT imaging shows no evidence of bleeding. What should you consider?

 

Board Review: Trauma

A 23 year old male presents to your emergency department with a stab wound to the right side of his lower back.  Which of the following below would be consistent with Brown-Sequard Syndrome? (scroll down for answer) 

A) Loss of motor function in right leg; loss of temperature sensation in left leg 

B) Loss of motor function in left leg; loss of temperature sensation in left leg 

C) Loss of motor function in right leg; loss of temperature sensation in right leg 

D) Loss of motor function in left leg; loss of temperature sensation in left leg

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