Emergency Medicine Cases EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine
Oct 19, 2021
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Quick Trauma Management Tips
- When securing a chest tube quickly, use an endotracheal tube holder for temporary fixation.
- Ensure to check Morrison's pouch fully during FAST exams for subtle fluid to avoid missed injuries.
Recognizing Toxic Megacolon
- Toxic megacolon diagnosis requires colonic dilatation over 6 cm with systemic illness signs.
- It often arises from colitis causes and demands urgent surgery if perforation or ischemia occur.
ECG's Role in Pulmonary Embolism
- Look for signs of acute right ventricular strain on ECG in suspected pulmonary embolism.
- Use these signs to guide resuscitation, diagnosis, and consider early anticoagulation if high pretest probability.