CMC COMPENDIUM
  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction

Dr. Gibbs' Trauma Pearls

7/16/2013

0 Comments

 
Picture
  • Neck trauma - zones of the neck:
    I - Inferior aspect of cricoid cartilage to thoracic outlet
    II - Cricoid to angle of mandible
    III - Angle of mandible to base of skull
   *Zone II is more easily evaluated by surgical intervention; zones I and III by
    imaging"

  • Traumatic Eye Injuries:
    1. Hyphema - needs optho follow up - possible complications include
        a. Corneal staining, Increased pressure and acute glaucoma, Rebleeding
    2. Globe rupture - DO NOT MEASURE PRESSURES
    3. Medial canthus injury - think about damage to lacrimal duct

  • Face Injuries:
    1. Lefort Fractures:
        I. Fracture line passes through the alveolar ridge, lateral nose and inferior
            wall
of maxillary sinus.
        II. Fracture arch passes through posterior alveolar ridge, lateral walls
            of
maxillary sinuses, inferior orbital rim and nasal bones
        III. Fracture line passes through nasofrontal suture, maxillo-frontal
             suture, 
orbital wall and zygomatic arch.
    2. Mandibular Fractures - things to look for:
        a. Sublingual hematoma (pathognomonic), malocclusion, tongue depressor
           test
(pain with biting down), limited mouth opening, mental nerve
           paresthesias
    3. Auricular Hematoma & septal hematomas - drain to avoid pressure necrosis
        and
cauliflower ear & saddle nose deformity respectively
  • Aortic Injury - CXR findings
    1. Mediastinal widening
    2. Loss of aortic knob
    3. R mainstem bronchus misplaced
    4. Apical cap
    5. Tracheal deviation
    6. L pleural effusion
  • Neuro Trauma:
    1. Hangman's Fracture - pedicle of C2 - caused by extension mechanism
    2. Jefferson's Fracture - fracture through posterior & anterior arches of C1 > caused by axial loading - the ring breaks outward
    3. Pseudosubluxation -  normal mobility of C-2 on C-3 in flexion which  be mistaken for pathologic motion; (is normal in children < 8 years old);
    4. When managed properly SDH = greater morbidity than epidurals



0 Comments

Your comment will be posted after it is approved.


Leave a Reply.

    Archives

    August 2018
    February 2018
    January 2018
    December 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    April 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013

    Categories

    All
    Abdominal Pain
    Abdominal-pain
    Airway
    Back Pain
    Back Pain
    Bleeding
    Change-in-mental-status
    Chest Pain
    Dizziness
    Ecg
    Emboli
    Environmental
    Fever
    Gyn
    Headache
    Hypertension
    Infectious Disease
    Pain
    Pediatric Emergency
    Professionalism
    Psych
    Respiratory Distress
    Sepsis
    Shock
    Toxins
    Trauma
    Vomiting
    Weakness

    RSS Feed

    Tweets by @PedEMMorsels
Powered by Create your own unique website with customizable templates.
  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction