The evidence is accumulating that hyperthermia following severe traumatic brain injury (TBI) occurs frequently and worsens neurological outcomes. An interesting paper, Neurocrit Care. 2009;11(1):82-7, showed improved neurological incomes in patients who maintained normothermia. Bas
Take a look at this really remarkable ultrasound image, not so much for it immediate clinical utility, but for its rarity. A patient presented with numerous self-inflicted cuts all over the body including bilateral extremities, torso, and neck. Arrived profusely bleeding, and clear
Zones of the Neck Defined by mandible, cricoid cartilage, and sternal notch. Most injuries sustained in Zone II, especially carotid injuries Zone I mortality high due to intrathoracic injuries. Posterior triangle with few vital structures. Important exception is subclavian at risk
Globe rupture is more often occult on presentation. The most frequent sites of rupture are not easily visualized, and more superficial injuries may block examination of the posterior segment. Very small sharp foreign bodies can enter the eye through small wounds that are difficult to visualize. Our institution has developed the following protocol for evaluation of clinically non-apparent ruptured globe injuries.
Venous air can be seen as incidental finding seen during routine contrast CT scans. This can also occur during IV placement if poor technique is used. The air typically collects in the right ventricle or proximal aorta, and is usually harmless.
Evaluation of pediatric head trauma, especially the decision to obtain advanced imaging has significant risk/benefit trade-offs. Three major studies have been performed to aid the emergency physician and parents in this decision.
Globe rupture is a serious injury and requires immediate medical attention. Sometimes globe rupture is obvious. The eye can be misshapen with uveal tissue prolapsing out of an anterior scleral or corneal wound. Other times, there may still be an identifiable foreign body present. With