- NOT Thiopental (but the initial trauma or delayed hemorrhagic shock)
- It has been a popular myth that Thiopental caused more deaths than the initial trauma but of the 344 patients admitted to the Tripler Army Hospital only 13 died. Thiopental was unlikely to have been responsible for all the deaths and we also know that large induction doses were used before the knowledge that very low doses are required in the shocked trauma patient. [Reference]
- Acute shoulder tip pain from intra-abdominal fluid or irritants.
- It is classically supposed to indicate splenic rupture in the supine patient whose legs are raised and they feel left shoulder tip pain. However any cause of diaphragmatic irritation can cause this finding.
- It has also been questioned whether Kehr (A German hepatobiliary surgeon) really documented this sign in its classic description. [Reference]
- He developed an allergic reaction and became short of breath forcing him to reprise the role. [Reference]
- Although not sure getting an electric shock to your genitalia would work there was enough recommendations that a mark II version was made. [Reference]
During a traumatic resuscitation a thoracotomy maybe performed. One of the injuries that maybe corrected in experienced hands is a pulmonary vein haemorrhage. Who famously died of this injury?
- Princess Diana
- Famously used as a case to underlie the importance of quick transfers to hospital as opposed to roadside resuscitation. [Reference]
…and in other news