A 20 y/o M arrives to your ED following an assault with a baseball bat...

Knowing the mechanism of injury for your trauma patients is vital to anticipating potential injuries.  Read ahead for some mechanism/injury pairings you are likely to see this summer:  

The weather is finally warm and it is the time of year for more sports injuries.  Keep reading for a quick review on finger dislocations and plalynx fractures.  

Master placement of surgical chest tubes with these simple tips and tricks.

This post is not intended to be a comprehensive review of skull fracture types and management, but rather a discussion of two subtypes of skull fracture – open and depressed fractures.  I chose this topic because it’s something I saw frequently during my recent elective working in an emergency department in Kumasi, Ghana.  In the United States at trauma centers these patients are frequently managed immediately by neurosurgery; however, with few consultants available, I was able to be more involved in the prolonged care of these patients. If faced with these types of severe head/skull injuries in a community hospital, it is important to feel comfortable with the initial management.  

Do you routinely recommend rest for your post-concussive pediatric patient?  You may reconsider this adivce.  This week Dr. Lou Argentine reviewed this clincal question for his critically appraised topic.    

Have you cared for a paient dying from traumatic hemorrhagic shock despite maximum resucitation efforts?  Dr. Zaffer Qasim from Christiana Care  and @emmeddoc joined us for an outstanding talk on the use of REBOA in this patient population.  

29 year old male presents by HEMS after a motorcycle accident.

Tranexamic Acid! It seems everywhere we look there are people touting TXA as the next miracle drug. This post introduces the clinical applications of TXA and the evidence supporting its use.