Introduction • Rare, only 4% of all shoulder dislocation• Can be [1]• Chronic dislocation if >1 week [2] Clinical Features Mechanism of injury • Direct blow from the front of affected shoulder• Fall on outstretched internally rotated hand • Seizure ======💡Notes• If the patient presented with features of posterior dislocation but due to , ask […]
Introduction A common type of dislocation seen in ED, especially anterior shoulder dislocation Types: • Anterior dislocation (95%)• Posterior dislocation (≈4%)• Inferior dislocation Clinical Features Mechanism of injury • Patient had a fall due to seizure / accident Presentation • Patient complained of extreme pain over affected shoulder Physical examination Features of anterior dislocation• Affected […]
Head CT is required in minor head injury if patient has any of these signs: High risk (for neurological intervention) Age ≥65 years GCS <15 at 2 hours after injury Suspected open or depressed skull fracture Any sign of basal skull fracture Vomiting ≥2 episodes Medium risk (for brain injury on CT) Amnesia before impact […]
Introduction Trimodal model of trauma mortality • — death within minutes of injury• — ‘early death’, i.e. death within hours of arrival to hospital• — ‘late death’, i.e. death after 24 hours of trauma (days to weeks post injury) =====Further reading: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3603725/#:~:text=The%20first%20peak%20in%20the,after%20arrival%20to%20the%20hospital. Polytrauma • A clinical syndrome with severe injuries, involving two or more major […]
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