Trauma

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Posterior Sternoclavicular Dislocation: A Case Report

Stephanie Songey, DO*, Christopher Goodwill, DO* and Kimberly Sokol, MD, MS, MACM*

DOI: https://doi.org/10.21980/J8363Q Issue 6:1[mrp_rating_result]
Chest X-ray revealed an inferiorly displaced right clavicle at the right sternoclavicular joint (blue arrow). A computed tomography angiogram (CTA) of the chest was therefore obtained and revealed a right posterior sternoclavicular dislocation with resultant compression of the left brachiocephalic vein (purple arrow). Even though the right clavicle is displaced, the anatomy of the brachiocephalic vein is such that it is positioned to the right of midline, placing the left brachiocephalic vein posterior to the right clavicle. The right brachiocephalic and common carotid artery were normal in appearance. The CTA also revealed a comminuted fracture of the left anterior second rib at the costochondral junction that had not been previously seen on the x-ray.
OrthopedicsTraumaVisual EM
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Case Report: Traumatic Tension Pneumothorax in a Pediatric Patient

Zachary Tritsch, MD*, Gayle Galan, MD*, Gary Oates, MD* and Janelle Thomas, MD*

DOI: https://doi.org/10.21980/J8ZD1S Issue 6:1[mrp_rating_result]
Chest X-ray demonstrated significant right-sided pneumothorax (with red outline showing border of collapsed right lung) with cardio mediastinal shift to the left (shown by blue arrows) indicative of a tension pneumothorax
TraumaPediatricsRespiratoryVisual EM

Owning the Trauma Bay: Teaching Trauma Resuscitation to Emergency Medicine Residents and Nurses through In-situ Simulation

Andrew Bellino, MD*, Alexandra June Gordon, MD^, Al’ai Alvarez, MD*  and Kimberly Schertzer, MD*

DOI: https://doi.org/10.21980/J8WK9X Issue 5:4[mrp_rating_result]
ABSTRACT: Audience: The following two cases were designed to address learning objectives specific to interns, junior residents, and senior residents in emergency medicine, as well as trauma-certified emergency nurses.  Introduction: Traumatic and unintentional injuries account for 5.8 million deaths across the globe each year, with a high proportion of those deaths occurring within the initial hour from the time of
SimulationTrauma

Simulated Mass Casualty Incident Triage Exercise for Training Medical Personnel

Alaina Brinley Rajagopal, MD, PhD*, Nathan Jasperse, BS* and Megan Boysen Osborn, MD, MHPE* 

DOI: https://doi.org/10.21980/J82H1R Issue 5:4[mrp_rating_result]
By the end of this exercise, learners should be able to (1) recite the basic START patient categories (2) discuss the physical exam signs associated with each START category, (3) assign roles to medical providers in a mass casualty scenario, (4) accurately categorize patients into triage categories: green, yellow, red, and black, and (5) manage limited resources when demand exceeds availability.
EMSSmall Group LearningTrauma
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Adult Clavicular Fracture Case Report

Jessica L Sea, PhD*, Nadia Zuabi, MD* and Alisa Wray, MD, MAEd*

DOI: https://doi.org/10.21980/J8FM0TIssue 5:4[mrp_rating_result]
The patient's chest and clavicular radiographs showed a comminuted displaced acute fracture of the right mid-clavicle (green, blue, yellow). The clavicular fracture was also visible on the chest computed tomography (CT). The remainder of his trauma workup was negative for acute findings.
OrthopedicsTraumaVisual EM
DRUJ Elbow Xray, Lateral. Unannotated. JETem 2020

Case Report of Distal Radioulnar Joint and Posterior Elbow Dislocation

Danielle Matonis, MD*, Katelyn Wittel, BS* and Alisa Wray, MD, MAEd*

DOI: https://doi.org/10.21980/J89S6K Issue 5:4[mrp_rating_result]
Radiographs of the left elbow and wrist were obtained. Left elbow radiographs showed simple posterolateral dislocation of the olecranon (red) without fracture of the olecranon (red) or trochlea (blue). Left wrist lateral radiographs demonstrated DRUJ dislocation with dorsal displacement of the distal ulna (green) without fracture or widening of the radioulnar joint (purple). Post-reduction radiographs demonstrated appropriate alignment of the elbow with the trochlea seated in the olecranon and improved alignment of the DRUJ.
OrthopedicsTraumaVisual EM
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A Case Report of Epidural Hematoma After Traumatic Brain Injury

Ronald Goubert, BS*, Alisa Wray, MD, MAEd* and Danielle Matonis, MD

DOI: https://doi.org/10.21980/J8R059 Issue 5:3[mrp_rating_result]
Non-contrast CT head demonstrated a right sided EDH (red arrow) with overlying scalp hematoma, left-sided subdural hematoma (blue arrow), and bilateral subarachnoid hemorrhages. No skull fractures were noted.
TraumaNeurologyVisual EM
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Traumatic Diaphragmatic Rupture – A Case Report

Vincent Hussey, MS*  and Claire Thomas, MD*

DOI: https://doi.org/10.21980/J8G64H Issue 4:4 [mrp_rating_result]
Chest X-ray showed an elevated left hemi-diaphragm with superior displacement of a portion of intra-abdominal contents presumed to be the stomach (green arrowheads) with associated rightward mediastinal shift (yellow arrows). The diagnosis was confirmed by CT. Computed tomography imaging of the chest showed a large, left diaphragmatic defect measuring approximately 5.5 cm with herniation of the upper half of the stomach through the defect. The fundus of the stomach (blue arrow) herniated superiorly through the ruptured diaphragm (red arrow).
TraumaAbdominal/GastroenterologyVisual EM