Category: Trauma (page 1 of 2)

NBME Shelf Review Part 2


Fingertip Injuries

Today we are learning what to do when somebody cuts their fingertip off. Trust me, it’s not as straight-forward as you would think.

Laceration (Repair)

In this episode we will be discussing a laceration repair procedure. Don’t overcomplicate things. Keep it nice and simple. And you will be successful.

Laceration (Evaluation)

Laceration Repair is one of your core 3 procedures and is critical to master if you want to get a good SLOE. You have to very carefully consider if the wound should even be repaired at all! Otherwise it might get infected and the patient will have a bad outcome. However, if your presentation is strong, they will let you repair the wound, which will get you great scores on your SLOE.

Pregnancy Injury

For our last trauma episode, we will be covering the basic approach to injuries in pregnant women. These can be very stressful cases, but the good news is that the approach is very straight forward. It’s just 5 extra interventions you have to perform in addition to your normal trauma resuscitation.

Leg Injury

Leg injury is one of the most common types of trauma we see in Emergency Medicine. The most important thing to remember about these types of injuries are the Ottawa rules. These are very VERY high yield. Learn them now and you will be well prepared for your rotation.

GU Injury

Genitourinary injuries are an often neglected aspect of trauma, but they are very important because they lead to long term morbidity if missed. In this episode we will cover a general approach to GU trauma as well as the 4 main injuries types you will encounter.

Abdominal Injury

Abdominal trauma is probably the most difficult and most subjective type of trauma that you can evaluate. There is no perfect decision criteria that you can use. There is no perfect test. It all comes down to some magical combination of clinical gestalt and objective findings. Sure, we can usually tell when the patient needs to go straight to the OR, and we do have some great tools such as bedside ultrasound. However, none of these work 100% of the time. That is why I always consider three things when thinking through these cases. Mechanism, Exam, and Imaging.

Heart Injury

This week we are continuing our trauma series and talking about cardiac injury. There are 3 big diagnoses in this section that we will cover: cardiac tamponade, aortic dissection, and blunt cardiac injury. All 3 can kill your patient, and all 3 are easy to evaluate for if you know what to look for. We will cover all of these as well as several common pimp questions in this episode.

Lung Injury

Injuries to the chest are one of the most common, most life-threatening, and most important injuries that occur during severe trauma. In this episode we will cover injuries to the lungs with a specific focus on the 3 life threatening diagnoses that must be considered during every case: tension pneumothorax, open pneumothorax, and hemothorax.

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