Trauma is the leading cause of non-obstetric death in pregnant women. MVAs and intimate partner violence account for most cases.  Let’s first discuss the physiological changes to consider when managing a pregnant patient in a trauma. Management: Love, Julie Resources: https://www.uptodate.com/contents/initial-evaluation-and-management-of-major-trauma-in-pregnancy https://www.east.org/education-career-development/practice-management-guidelines/details/pregnancy-and-trauma https://www.jogc.com/article/S1701-2163(15)30232-2/pdf https://www.ajog.org/article/s0002-9378(13)00068-9/fulltext http://www.emdocs.net/resuscitation-of-the-pregnant-trauma-patient-pearls-pitfalls/

Let’s talk about managing expectations. You can do this with almost everyone/everything in your life, your goal being to under sell, over deliver. Some, not all, patients think that when they walk through these hallowed doors, that they’re walking into a place of truth and all-knowing information. They don’t realize the ED is more like a […]

Anatomy First, we’ll refresh our bony anatomy to contextualize the radiographic images. The ankle is composed of the distal tibia and fibula and the superior talus, which is stabilized by several ligaments and the fibrous syndesmosis. The standard ankle radiographic series consists of the AP, mortise and lateral views. The AP View The Mortise View […]

Why should I care about this? Ok, so it may not be that interesting, however, we should still review how to responsibly remove a helmet. In NYC, we very rarely encounter injured patients with a helmet on and that’s probably because they were never wearing one to begin with, the patient removed it, or EMS […]

Summary Summary Anatomy of the Lisfranc Joint The Lisfranc joint consists of the articulation of the first three metatarsal bases with their respective cuneiforms and the 4th/5th metatarsal bases with the cuboid, along with associated ligaments. The lisfranc ligament, which joins the medial cuneiform (1st cuneiform) and the base of the 2nd metatarsal, provides primary […]