1) Respect the elderly, but especially in geriatric trauma!
-Many of these patients are beta blocked and anticoagulated
-High risk for occult fracture, higher risk for mortality following any trauma
-Remember to apply geriatric trauma scoring, and triage conservatively
2) Don't fear the chronic tracheostomy patient in respiratory distress
-Remember your airway toolbox, gauge how much time you have!
-A NG tube can be a great placeholder for trach exchange
-Never forget you can (usually) still intubate these people from above
-Fiberoptic nasotracheal intubation as a failsafe
3) Consider imaging of the hip in pediatric leg pain
-SCFE can present as subacute knee pain, patients may still be able to walk!
-Consider in both boys and girls, obese and average sized
-Low threshold for imaging of the hips with knee or thigh pain complaints
4) Ensure you examine every trauma patient's eyes, checking for ocular trauma
-Globe rupture requires immediate optho consultation
-Do not perform further exams until this is ruled in or out
-Hyphema is a collection of blood in the anterior chamber, usually traumatic
-More anterior chamber filling associated with worse visual recovery
-Emergent consultation with opthomology, elevate head of bed, check for coagulopathy