Small bowel injury
The Bowel injuries page has been updated with additional information about small bowel injury.
Dunn RJ
The Bowel injuries page has been updated with additional information about small bowel injury.
The Pulmonary injuries page has been updated with information about the safety of observation of small traumatic pneumothoraces.
The Cervical spine fractures page has been updated with a CT image of a single facet joint dislocation.
The Cervical spine fractures page has been updated with a CT image of bilateral facet joint dislocation.
The Spinal cord injury page has had a significant revision of the segment on management.
The Cerebrovascular trauma page has been updated, including information about the utility of aspirin in patients with cerebrovascular dissection in the absence of major trauma.
The Disorders of clotting page has been updated with additional information about the coagulopathy associated with severe traumatic brain injury.
The Assessment of the trauma patient page has been updated with additional information about the indications for radiography and the high negative predictive value of clinical examination in patients able to be assessed clinically.
A substantial segment on Assessment of shock in trauma has been added to the Assessment of the trauma patient page. This is intended as a reminder that there are numerous other potential causes for shock in the patient with major trauma undergoing resuscitation, other than just blood loss.
The Paediatric head trauma page has been updated to reflect that expert clinical judgement is superior to the commonly cited paediatric head injury rules.
The Penetrating thoracic trauma page has been updated, including a CT image of biventricular penetration.
The Cervical spine injuries page has been updated, including information about the low risk of cervical spine injury in isolated low velocity gunshot wounds.
The Digital amputations page has been updated with the recommendation to put amputated parts into a jar, rather than a plastic bag, before putting them in cold water or ice.
The Nail injuries page has been updated, including clarification of the lack of need to remove an intact nail to determine if nail bed injury is present.
The Soft tissue injuries of the shoulder region has been updated to suggest that MRI is the investigation of choice for evaluation of suspected acute soft tissue injuries around the shoulder.
A CT image of tension pneumocranium has been added to the Complications of head trauma page.
A new segment on Pneumocranium has been added to the Complications of head trauma page.
A plain film showing a markedly displaced Dens fracture has been added to the Cervical spine fractures page.
The Burn depth assessment algorithm on the Burn wounds page has been updated to indicate that the Nikolsky sign is absent in epidermal burns and present in partial thickness burns. Previously the algorithm mistakenly indicated the opposite. Thanks to Jess for picking this up.
The Assessment of the trauma patient has had a few minor revisions, including the addition of AT to the MIST acronym.