Trauma and Pregnancy
One of the patients seriously injured in a multi-vehicle pile up is pregnant. What are the implications for trauma management?
Category LITFL
Roman Breastplate
Burns were sustained by a 35 year-old man from a house fire. They are extensive and severe, affecting his trunk and upper limbs. He undergoes escharatomy.
A Fiendish Finding
A 21 year old female presents with acute onset of unrelenting abdominal pain and vomiting four years after a major motor vehicle accident. A chest X-ray is performed:
John Floyer
Sir John Floyer (1649–1734) English physician, Inventor of pulse watch (1707); advocate of cold bathing and hydrotherapy and asthma therapy
Graves Ophthalmopathy
Graves Ophthalmopathy: constellation of findings, apparent in 25-50% of patients with Graves disease. Robert Graves 1835
A bashed head
A 27 year-old male was involved in head on collision at high speed. He was GCS 8 at the scene.
Graves disease
Graves disease: Autoimmune disease that affects the thyroid. A form of hyperthyroidism manifesting the triad of goitre, exophthalmos and pretibial myxoedema.
William Dressler
Wilhelm Dressler (1890 – 1969) Polish born American cardiologist. Eponym Dressler beat (1952) Dressler syndrome (1956)
Paul Julius Moebius
Paul Julius Möbius (1853-1907) was a German neurologist specialist in neuroanatomy and neurological disorders. Möbius sign, syndrome, disease
Möbius sign
Möbius sign: Diagnostic test in patients with Morbus Basedow (Graves disease) - the inability to maintain ocular convergence in the presence of hyperthyroidism.
Dupuytren contracture
Dupuytren contracture: A gradual thickening and tightening of the fascia under the skin of the palm and fingers in the hand.
Another complication of facial trauma
A 27 year old male with head and extensive facial trauma is admitted to the intensive care unit after a neurosurgical intervention for an acute subdural haemorrhage. There has been difficulty with oxygenation in the operating theatre.