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I’m devoting the next two posts to revisiting the management of hemo- and/or pneumothorax. These clinical issues are some of the most common sources of variability in how trauma professionals approach them. Let’s start with the seemingly simple chore of managing a lowly chest tube.
Management of chest tubes is one of those clinical situations that are just perf...
Chest tubes are a common tool in managing thoracic injury. Inserting them is relatively straightforward. However, there is considerable variation in practice around their management. Standard management involves placing them on suction until several criteria are met, then removing them.
The trauma group at Vanderbilt scrutinized the basic premise of using suction on ch...
Admit it. You’re curious. You order this test for your trauma patients all the time but you’ve never seen it done. It’s simple and noninvasive, but it does require access to all areas to be evaluated. This means that extremities that are casted or splinted, or that have extensive dressings in place may be incompletely evaluated.
The study is called “
Oftentimes, trauma patients arrive, are not very responsive, and are not carrying an ID. However, our electronic health record systems struggle with this. To expedite care, most hospitals developed a system of pseudonyms to use until the patient can be identified.
Originally, these names were often “Doe” names. The classic ones were John Doe and Jane Doe. Obviously, m...
The retrograde urethrogram is one of the few diagnostic tests without a fancy CT or advanced diagnostic imaging replacement. Typically, the trauma professional calls the radiologist to perform this test. But it’s so easy, really, anyone could do it!
One of the hallmarks of urethral injury is blood at the meatus in males. The standard answer to the ques...