Nov 1, 2019
Contributor: Jared Scott, MD
Educational Pearls:
- Non-accidental trauma (NAT) to children is commonly missed by medical providers
- Try to remember TEN-4-FACES as a useful aide for concerning patterns that may reflect NAT:
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- Torso, ears, neck and any bruising in child 4 months or longer
- Frenulum, angle of the mandible,...
Aug 6, 2019
Author: Rachel Brady, MD
Educational Pearls:
- Elderly patients (>65 years old) have a higher trauma mortality compared to younger patients, even though they have lower mechanisms of injury
- Elder trauma is often under-triaged due to low-energy mechanisms and lack of physiologic response due to age and medications such...
Jan 22, 2019
Author: Katrina Iverson, MD
Educational Pearls:
- The winter holiday months present a unique picture of patient
presentations to the emergency department
- Some of the unique presentations include:
- Children falling off Santa’s lap
- Sledding injuries
- Falling off ladders
- Lacerations, ingestion, and insertion of broken...
Jan 14, 2019
Author: Mike Hunt, MD
Educational Pearls:
- Blunt cardiac injuries most commonly occur in motor vehicle collisions, auto-pedestrian collisions, and from sports injuries
- The more anterior right ventricle is the most commonly injured structure
- Look for new EKG changes such as bundle branch blocks, ST changes, or other...
Dec 6, 2018
Author: Katie Sprinkle, MD
Educational Pearls:
- The fascia iliaca block is useful for hip and proximal femur fractures.
- Typically involves injecting 40-60 mL of diluted bupivacaine (0.25%) under the fascia iliaca (or other anesthetic)
- Anesthesia is achieved of the femoral, obturator, and lateral femoral cutaneous...