Trauma! Penetrating Abdominal Injury
A Q&A guide to the assessment and management of penetrating abdominal trauma, including stab wounds, gunshot wounds and different regions of the abdomen.
LITFL Review 348
Welcome to the 348th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on…
Blunt Abdominal Trauma: Decision Making
A Q&A approach to the decision making in the emergency management of blunt abdominal trauma. Do you know when to go straight to the operating theatre, the CT scanner or to hold FAST... What if you suspect a coexistent pelvic fracture or traumatic brain injury?
Death by elephant
You don’t want to experience a tusker in the bush at 6 in the morning. They’re large, dangerous creatures that can be quite aggressive. This study takes a look at 14 human fatalities in West Bengal between 2007 and 2010.…
Little Wound, Long Knife
A man has been stabbed near his right clavicle. Is his chest x-ray normal? What needs to be done?
Brown recluse bites
Last October, a report of death by loxoscelism was reported in Annals. It’s a sad story about a previously healthy 3 year old girl who was bitten by a witnessed brown recluse in Tennessee. She went to a rural ED,…
Trauma! Genitourinary Injuries
A Q&A overview of the assessment and management of a sometimes neglected area of major trauma: genitourinary injuries.
Ice vs chemical cold packs
Heat illness needs fast treatment, and to accomplish this many EMS agencies carry chemical cold packs. These are convenient in that they have long shelf lives, don’t require cold storage, and don’t leak or drip fluids. According to this article,…
Jellybean 099 with Prof Michael Pinsky
Professor Michael Pinsky. Giant of North American and International Intensive Care research and practice. Jellybean 99 and CICMxJB 7
Trauma! Abdominal Injuries
A Q&A overview of abdominal injuries resulting from major trauma. Can you recognise and manage the common and important abdominal organ injuries in the ED?
Afterdrop
Snow burial is often used experimentally to simulate avalanche burials. In this paper, they used snow burial to allow measurement of core temperature cooling and afterdrop. The authors were attempting to compare the afterdrop rate of patients who were immediately…
Trauma! Assessing the Abdomen
A Q&A approach to the assessment of abdominal trauma with a focus on the role the FAST scan, diagnostic peritoneal lavage and the CT abomen.