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