thebluntdissection

pulling apart cases from the ED...

  • Home
  • About
  • EMUGs
  • Fellowship Flashcards
  • Contact

shrouded shock…

February 28, 2017 By Christopher Partyka Leave a Comment

the case.

46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.

[Read more…]

Filed Under: #FOAM, Cardiology, Critical care, ECG, ECHO, Evidence, Interesting, Trauma, Ultrasound Tagged With: BCI, blunt cardiac injury, cardiac contusion, chest trauma, ECG, ECHO, myocardial contusion, RBBB, shock, thoracic trauma, Trauma, troponin

concerning extension…

July 30, 2013 By Christopher Partyka Leave a Comment

the case.

You receive a BAT call about a 31 year-old male who has come off his bicycle after running into a stationary car at ~30 km/hour. Bystanders report that he was thrown 3-5m and had a loss of consciousness of ~3 minutes without witnessed seizure activity. [Read more…]

Filed Under: #FOAM, Evidence, Interesting, Radiology, Spine, Trauma Tagged With: blunt vertebral artery injury, cervical spine fracture, CT angiography, foramen transversarium, posterior circulation stroke, screening, Trauma, Vertebral artery dissection

a pulmonary pummelling…

December 5, 2012 By Christopher Partyka Leave a Comment

The Case.

This patient has been in your ED for over 24 hours waiting for a CCU bed. He presented with vomiting and syncope, but acquired left sided rib fractures during his collapse. He has been comfortable for most of the day on nasal-prong oxygen and a morphine PCA.

You are asked to see him as he has sudden worsening of his left-sided chest pain. He has become clammy and hypoxic.

This is what you see….

What’s going on ?
What are you going to do now ??

[Read more…]

Filed Under: Respiratory, Trauma Tagged With: Flail Chest, paradoxical, pulmonary contusion, Trauma

shades of grey…

November 16, 2012 By Christopher Partyka Leave a Comment

Add your thoughts here… (optional)

Filed Under: Trauma, Ultrasound Tagged With: Emergency Ultrasound, FAST, FAST exam, focused assessment with sonography in trauma, positive FAST, Trauma, ultrasound

shades of grey…

October 10, 2012 By Christopher Partyka Leave a Comment

A few days ago I was looking after a 31/40 gestation restrained passenger from low-speed MVA with a slight seatbelt abrasion in her RIF & mild suprapubic pain. She looked well, HR 70 with BP 108 systolic and no features of peritonism.

As I placed the US-probe on for her FAST, this was the first image I acquired…..

   

[Read more…]

Filed Under: #FOAM, ECHO, Trauma, Ultrasound Tagged With: Emergency Ultrasound, FAST, FAST exam, focused assessment with sonography in trauma, positive FAST, Trauma, ultrasound

Recent Posts

  • an abominable airway…
  • shrouded shock…
  • another bubble of trouble…
  • bubble of trouble…
  • collective crises…

RSS Life in the Fast Lane • LITFL

  • Funtabulously Frivolous Friday Five 352
  • Comms Lab: I-Messages
  • Adult CXR Cases 028
  • Claus Bang
  • Merry Funtabulously Frivolous Friday Five 351

Follow me on Twitter

My Tweets

© 2012–2023 · Hosted by LITFL

 

Loading Comments...