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Diagnosis of scaphoid fractures. Are plain radiographs reliable?

It's a busy wednesday morning in ED. A 18 yo guy presents with the right hand upraised and dressed. In the other hand he has a bundle of X ray. “About ten days ago, it was a Saturday night, I was with my new girl-friend. Hitting a punch bag as hard as…

ByCiro Paolillo6 August 20140Comments

Blood

Is it always necessary to perform an arterial blood gas after a blunt trauma?

A 53 year old man is involved in a motor vehicle crash. He refers a moderate thorax and abdominal pain. No head injury, the helmet is not broken, the patient remembers the accident. Systolic blood pression is 120/80 mmHg, respiratory rate is 24, saturation is 100%, he has abrasions over the torso and right thorax…

ByCiro Paolillo10 June 20130Comments

Bones and joints

Is cervical spine X-ray necessary if there is a distracting injury?

A 40 yo lady arrives in ED by ambulance with neck and spinal immobilization because she fell down a staircare. The patient’s vital signs are within normal physiological parameters, she is alert, no deficit, remembers all, denies head contusion and neck pain. She complains for a sharp shoulder pain (NRS 10/10), it seems broken. If…

ByCiro Paolillo7 September 20120Comments

Chest Ultrasound

Can Ultrasound rule out a pneumothorax?

Y ou are allerted for a level 3 trauma from the mountain, a cyclist has fallen going down hill. You prepar the shock room with everything you may need, dress up, and wait. A 25 y/o cyclist arrives completely immobilized, you immidiately start to perform ABCDE as you learned in your recent ATLS course (you…

ByIlenia Spallino10 July 20120Comments

Chest

Thoracic trauma and chest X-Ray

Y ou are alerted for a level 3 trauma coming from the mountain, a cyclist has fallen going down hill. You prepare the shock room with everything you may need, dress up, and wait. A 25 y/o cyclist arrives completely immobilized, you immediately start to perform ABCDE as you learned in your recent ATLS course…

ByIlenia Spallino10 July 20120Comments

The Emergency Physician

Diagnosis of scaphoid fractures. Are plain radiographs reliable?

Is it always necessary to perform an arterial blood gas after a blunt trauma?

Is cervical spine X-ray necessary if there is a distracting injury?

Can Ultrasound rule out a pneumothorax?

Thoracic trauma and chest X-Ray

Septic Arthritis

Septic Arthritis and Arthrocentesis

Is cervical spine X-ray necessary if there is a distracting injury?