Normothermia Protocol for TBI and SAH

2016-10-13T18:16:33-05:00July 12th, 2013|Trauma|

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

Air visualized within IJ after penetrating trauma

2016-10-13T18:16:37-05:00April 25th, 2013|Trauma, Ultrasound|

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

Basics of Soft Tissue Neck Injury

2016-10-13T18:16:39-05:00March 21st, 2013|Trauma|

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

Algorithm for Evaluation of Non-apparent Globe Injuries

2016-10-13T18:16:39-05:00March 11th, 2013|Trauma, Ultrasound|

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.