– See: Anteromedial Approach – Discussion: – may be used for frx dislocations of talus, traumatic injuries to ankle joint, and osteochondritis dissecans of the talus; – disadvantages: possible to injure the tibial vessels and nerves; – incision: – centered on malleolus & is made … Read more
– See: – Arteriography – Arterial Trauma – Compartment Syndrome – Knee Dislocation – Popliteal Artery – Reperfusion Injury – Discussion: – note that the worst error to make is to underestimate the need to … Read more
– from Johansen, et al. (1990) Skeletal / soft-tissue injury Low energy (stab; simple fracture; pistol gunshot wound): 1 Medium energy (open or multiple fractures, dislocation): 2 High energy (high speed MVA or rifle GSW): 3 Very high energy (high speed trauma + gross contamination): 4 Limb ischemia … Read more
– ABG – Bronchospasm – Clinical Conditions – Criteria for Intubation – Criteria for Extubation – COPD – Fat Embolism Syndrome – Inverse … Read more
– See: – Exam for Spinal Cord Injury – Head Injury – Neuro Exam Menu – C-spine (initial care): – ensure that patient has adequate C-spine immobilization; – a standard backboard is unsuitable in children since it places the head into extension (pediatric … Read more
– See: – Digit Reimplantation – Moberg Flap; – Tendon Injuries of the Thumb: – Second Toe Transfer: – Skin Grafts: for hand defects; – Management of Acute Injuries: – amputations: – replantation: … Read more
References for Pneumonia: Concepts in Emergency and Critical Care: Ventilator-Associated Pneumonia. A Multivariate Analysis. Increased incidence of nosocomial pneumonia in mechanically ventilated patients with subclinical aspiration. Role of gastric colonization in the development of pneumonia in critically ill trauma patients: results of a prospective randomized trial. Continuous lateral rotational therapy and nosocomial pneumonia. Enteral hyperalimentation as a source of … Read more
– General Orders for the Renal Failure Patient – Renal Trauma / Urogenital Trauma – Fluids Electrolytes and Nutrition – Renal / Dialysis – Hematology – Neuro – MSK – ID: frequent UA and UCx to rule out infection, esp w/ foley; … Read more
– Outside Link: – An Approach to the Head Injured Patient by Paul Marik, MD – Trauma Menu: – Spine / C-spine – Orders for the Spine Injured Patient: Anesthesia in the Spinal Cord Injured Patient: Fluids in the Head Injured Pt: Hyperventilation Glasgow Coma Scale Head … Read more