To thoracotomy, or not to thoracotomy?

Thoracotomy

A chest trauma patient lies before you. When would you perform an emergency thoracotomy? A case-based Q&A approach to the indications and contraindications.

It’s up to us

Slide by Cliff Reid, Resus.ME

In the critical care specialties we have to make things happen, sometimes this involves life-saving actions that may have never before performed. We must be ready, after all, in the words of Peter Safar, “it’s up to us to save the world!” Cliff Reid tells us how.

Own the Chest Tube!

chest wound 150 thumb

In this materialistic day and age you can never own too many things… It’s time to Own the Chest Tube!

Cunningham’s Shoulder Relocation

Thumb_Emergency

A video and description of Neal Cunningham’s method of reduction for anterior shoulder dislocations and relevant links on shoulderdislocation.net

Instructional Ultrasound

USS

First in a series of videos on Instructional Ultrasound in the emergency department – Ultrasound Guided Venous Access

Minor Injuries 007

IMG_2666_2

36 year old female presents to the emergency department complaining of a swollen left ring finger having ‘pulled a hangnail’ from the finger 2 days previously. Examination reveals a swollen nail fold with visible pus present. Medical management of paronychia

Patella Dislocation

Patella dislocation 1

The majority of patellar dislocations occur in females, especially targeting teenage girls. Literature shows, depending on the study that 30-72% of patellar dislocations are sports related and 28-39% will involve osteochrondral fractures. The most common location of patellar dislocations is lateral dislocation.

Releasing the Roman Breastplate

escharotomy

Burns were sustained by a 35 year-old man from a house fire. They are extensive and severe, affecting his trunk and upper limbs. He undergoes a procedure.

Cactus Spine Removal

cactus spine removal 001

Cacti are dicotyledonous (characterized by two seed leaves) succulent perennial plants belonging to the family Cactaceae. There are approximately 2000 species and 100 genera of cacti are located primarily in the drier regions of tropical and subtropical America.