Trauma

Clinical Decision-Making Case: Non-Accidental Trauma

H Michelle Greene, DO*, Anne P Runkle, MD*^, Jennifer M Mitzman, MD*^, Christopher E San Miguel, MD, MEd^, Krystin N Miller, MD^, Simiao Li-Sauerwine, MD, MSCR^, Geremiha Emerson, MD^, Sorabh Khandelwal, MD^, Kelsey H Jordan, PhD, MPH^ and Jennifer Yee, DO, MAEd^

DOI: https://doi.org/10.21980/J8.53233 Issue 10:5[mrp_rating_result]
By the end of this clinical decision-making case, learners will be able to: 1) demonstrate familiarity with the CDM case format and case play, 2) describe important historical information to obtain when suspecting non-accidental trauma, 3) recognize potential physical exam findings in non-accidental trauma, 4) justify appropriate diagnostic studies based on clinical findings and current evidence on occult injury in suspected pediatric abuse, and 5) propose an appropriate disposition plan for patients with non-accidental trauma.
Current IssueCertifying Exam CasesClinical Decision-MakingPediatricsTrauma

Prioritization: Run This Board: Septic Shock, Acute Coronary Syndrome, Small Bowel Obstruction, and Penetrating Chest Trauma

Colleen Donovan, MD1, Nicole Novotny, MD2, Charles Lei, MD3, Alaa Aldalati, MBBS4, Andrew Melendez, DO5, Neil Wallace, MD6, Tiffany Moadel, MD7, Stephanie Stapleton, MD8 and Shagun Berry, DO9

DOI: https://doi.org/10.21980/J8.52355 Issue 10:5[mrp_rating_result]
By the end of this case learners will be able to: 1) Become familiar with format of a prioritization case (a component of the ABEM Certifying Exam), 2) Practice their ability to prioritize multiple patients and provide stabilizing care, 3) Consider changes in status/patient acuity/new cases as presented, 4) Understand how to utilize team resources appropriately.
Current IssueAbdominal/GastroenterologyCardiology/VascularCertifying Exam CasesClinical Decision-MakingInfectious DiseaseNeurologyOb/GynPediatricsPrioritizationTrauma

Prioritization: Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Toxicity Presenting to a Community Emergency Department

Brian Milman, MD*, Marshall Howell, MD*, Joshua Ginsburg, MD* and Samuel Parnell, MD*

DOI: https://doi.org/10.21980/J8.52346 Issue 10:5[mrp_rating_result]
By the end of this case learners should: 1) Become familiar with the format of a prioritization case (a component of the ABEM Certifying Exam), 2) demonstrate their ability to prioritize multiple patients and provide stabilizing care, 3) consider changes in status/patient acuity/new cases as presented, 4) understand how to utilize team resources appropriately.
Current IssueCertifying Exam CasesNeurologyPrioritizationToxicologyTraumaUrology

Trauma and Hyperthermia

William Webster, MD *, Dallas Beaird, MD^ and Linda L Herman, MD *

DOI: https://doi.org/10.21980/J8.52308 Issue 10:4[mrp_rating_result]
By the end of this oral board session, examinees will be able to:  1) construct a differential to evaluate a patient with undifferentiated altered mental status and trauma, 2) recognize the signs and symptoms of heat stroke, 3) complete an evaluation of a patient with both hyperthermia and trauma, and 4) demonstrate efficient and correct treatment of a patient with hyperthermia. 
SimulationTrauma

Critical Care Transport: Blunt Polytrauma in Pregnancy

Emma Rolf*, Samuel Kefer, MD^, Jennifer Quinn, BSN, RN†, Ryan Newberry, DO^†, Andrew Cathers, MD^†, Craig Tschautscher, MD^ and Brittney Bernardoni, MD^†

DOI: https://doi.org/10.21980/J81366 Issue 10:3[mrp_rating_result]
At the completion of this simulation participants will be able to 1) perform primary and secondary trauma surveys, 2) assess the neurovascular status of a tibia/fibula fracture, 3) appreciate anatomic and physiologic differences in pregnancy, 4) appropriately order analgesia and imaging, 5) recognize and treat hemorrhagic shock, 6) perform an extended focused assessment with sonography in trauma exam (eFAST) in undifferentiated hemorrhage, 7) identify a displaced pelvic fracture and properly apply a pelvic binder, and 8) obtain and interpret fetal heart rate using ultrasound.
EMSOb/GynSimulationTrauma
Chest wall abscess. Photograph unannotated. JETem 2024

A Man With Chest Pain After An Assault – A Case Report

Mi Song Kim, MD*, Francis Gan, MD*, Karl Nimtz, MD*, Daniel Ng, MD*^ and John Costumbrado, MD, MPH*^

DOI: https://doi.org/10.21980/J8J93S Issue 9:3[mrp_rating_result]
On exam, we found a suspected chest wall abscess with surrounding erythema (blue arrow). The patient underwent CT of the chest which showed a comminuted displaced midsternal fracture (yellow arrow) with moderate fluid and air anteriorly (red arrow), consistent with an abscess. His laboratory results had no significant abnormalities.
Visual EMInfectious DiseaseTrauma

E-FAST Ultrasound Training Curriculum for Prehospital Emergency Medical Service (EMS) Clinicians

Clever M. Nguyen, BS*, Krista Hartmann, BS, EMT-A*, Craig Goodmurphy, PhD^ and Avram Flamm, DO, EMT-P, FACEP, FAEMS*†**

DOI: https://doi.org/10.21980/J8S060 Issue 9:1[mrp_rating_result]
By the end of these training activities, prehospital EMS learners will be able to demonstrate foundational ultrasound skills in scanning, interpretation, and artifact recognition by identifying pertinent organs and anatomically relevant structures for an E-FAST examination. Learners will differentiate between normal and pathologic E-FAST ultrasound images by identifying the presence of free fluid and lung sliding. Learners will also explain the clinical significance and application of detecting free fluid during an E-FAST scan.
CurriculumEMSTraumaUltrasound
R Retroperitoneal Hematoma US 1 Unannotated. JETem 2023

Trauma by Couch: A Case Report of a Massive Traumatic Retroperitoneal Hematoma

Cassandra Smith, BSN *, Graham Stephenson, MD*, Alisa Wray, MD, MAEd* and Matthew Hatter, BS*

DOI: https://doi.org/10.21980/J84D2QIssue 8:3[mrp_rating_result]
Upon arrival at the trauma center, a FAST revealed a large, well-circumscribed abnormality (red outline) deep to the liver (blue outline and star) and gallbladder (green outline and star). The right kidney and hepatorenal space were not clearly visualized. The remainder of the FAST showed no free fluid in the splenorenal space, pelvis, and no pericardial effusion. He had lung sliding bilaterally.
TraumaVisual EM