Trauma — Brown Emergency Medicine Blog — BROWN EMERGENCY MEDICINE BLOG

A Real Pain in the Neck

A 17-year-old boy arrives to the trauma bay. He was the unhelmeted driver of a moped that collided with a truck going approximately 40 mph. He was thrown from the moped and lost consciousness. When EMS arrived on scene his GCS was 8, but it had improved during transport. In the trauma bay he has a GCS of 15 and his primary survey is intact. Vital signs are normal. Secondary survey reveals scattered abrasions and lacerations, as well as left anterior neck tenderness. His only complaint is pain in the left anterior neck…

Neurology, Vascular, NeurosurgeryDanielle KerriganNovember 4, 2022Carotid Dissection, Pediatrics, TraumaComment

Fall on Thinners: Management of Traumatic ICH in the ED

An 86-year-old female with past medical history of atrial fibrillation and coronary artery disease on apixaban and clopidogrel presents as a trauma activation after a mechanical fall from standing at her nursing facility. She does not remember the fall, but her nurse reports she tripped over her walker, fell and struck her head. She did not lose consciousness…

Critical Care, Trauma, NeurosurgeryHannah ChasonMay 13, 2022Trauma, Intracranial Hemorrhage, ICHComment

Evaluation And Care Of Pediatric Patients After Sexual Assault

A 15-year-old female presents to your emergency department with her mother. She is tearful and withdrawn. She tells you that she was sexually assaulted by a 20 year old male acquaintance 2 days prior. She reports that she would like to report the assault and would like to have a forensic exam. She is having some vaginal bleeding and pain around her rectum. She admits to using alcohol and some marijuana on the night of the assault. She is unable to remember everything that happened and thinks her assailant may have put a drug in her drink…

Pediatrics, OB/Gyn, LegalHannah ChasonSeptember 24, 2021Sexual assault, Pediatrics, TraumaComment

Ultrasound for the Diagnosis of Occult Elbow Fractures in the Adult Population

A 53-year-old woman with a past medical history of hypertension arrived to the Emergency Department with left arm pain shortly after a mechanical fall on an outstretched hand…

Ultrasound, OrthopedicsKatherine StewartMay 28, 2021Trauma, Orthopedics, Ultrasound, Brown SoundComment

Minor Hand Injuries

An overview of common hand injuries, including mallet finger, boxer’s fracture, and more!

Sports Medicine, OrthopedicsBrett MurrayNovember 6, 2020Hand injuries, Orthopedics, TraumaComment

Contact

Subscribe