Month: October 2016

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.

Neck Injury

Today we will be covering neck injury. Specifically, we will cover soft tissue injury of the neck. It can be divided into blunt and penetrating trauma. And because this is where the blood vessels are located, the test of choice for these injuries will be a CT angiogram. We’ll discuss the indications for CTA, when to go straight to the OR, as well as a few other pearls during this week’s episode.

C-Spine Injury

This episode will overview cervical spine injuries in trauma. First you put the collar on, then you take it off. The tricky part is learning WHEN to take the collar off. You have two options. Option 1 is to use a decision rule called the NEXUS criteria. Option 2 is to get a CT of the cervical spine and then “clear the collar” when the picture returns. Otherwise, the collar stays on until the patient can get follow up with a spine specialist.