Category Trauma

Trauma Tribulation 340 256

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.

Trauma Tribulation 340 256

It’s not a bird or a plane…

18 year old man day 7 in ICU after jumping from a building. Tracheostomy performed the day before. Acute respiratory distress with inability to pass a suction catheter through the tracheostomy tube.

Clinical-Cases-Bone-and-Joint-Bamboozler 340 256

Gordon Bennett!

A 27 year-old amateur martial artist needs your help after smashing his fist through a plank of wood. Can you diagnose and manage his injury?

don’t jump the gun…

the case. an elderly male is bought to ED following a high-speed motor vehicle accident having driven his car into a tree at ~100 km He is complaining of severe chest pain & trouble breathing.

Research and Reviews in the Fastlane 340

R&R In The FASTLANE 035

Research and Reviews in the FastLane: where experts worldwide tell us what they think is worth reading from the emergency medicine and critical care literature.

eye for an eye…

the case. an elderly female arrives to your ED with facial swelling and extensive bruising after a fall where she struck the left-side of her face on a concrete step. She is on warfarin for atrial fibrillation, but has not…

a whack to the flank….

the case. an 84 year old man is bought to your emergency department following a 3 metre fall from a ladder. He has landed on his right-hand side & is complaining of severe bilateral chest & flank pain.

no retreat, no reversal…

the case. a 79 year old female returns to ED with left sided chest pain & dyspnoea. She was recently admitted following a fall with rib fractures (including a flail segment) and a small haemothorax.

nasty big pointy teeth…

the case. A 2 year old infant is bought to your ED with a painful right hand. She claims to be have been bitten by the family dog 2 days earlier…

Quick Case #01

A 24 year old male rugby player presents to your ED with a severely painful, swollen left hand which occurred during a tackle and subsequent ruck. These are his x-rays….    [DDET What about the lateral ??] [/DDET] [DDET What’s…

a swollen face…

The Case. A 36 year old male presents through your sub-acute area with increasing facial pain & swelling. He reports a simple trip and fall 18 hours earlier (no alcohol on board, recalls all events), where his right cheek struck…