Posts in Trauma
Will Achilles Heal? When Calcaneal Fractures Are Surgical Emergencies

A 20-year-old otherwise healthy male presents to the emergency department for right lower extremity pain after being tackled during a football scrimmage 2 days ago. He thought it would get better over time by taking ibuprofen, but still cannot walk on it…

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Distal Radius Fractures

A 65-year-old right hand-dominant female was brought in by ambulance after a motor vehicle collision with left wrist pain and deformity. She states she was driving when another car turned and drove into the front of her car. She was wearing a seatbelt, the road speed limit was 35 MPH, and the front airbags deployed. There was moderate damage to the vehicle. However, the patient was able to self-extricate and was ambulatory on scene. She denied head strike, loss of consciousness, or taking blood thinners. She states she was in her usual state of health prior to this event…

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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…

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Pediatric Submersions

The overhead announcement goes off: “Team B to the trauma room”. The report: EMS is bringing a 2-year-old female that was found unresponsive in the family swimming pool by her mother after being alerted by an older sibling. Unknown downtime. The patient is being bagged by bag-valve mask (BVM) and has slow, but palpable, femoral pulses, she is unresponsive, ETA 2 minutes…

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