Pelvic fracture definitive management
A segment on the definitive management of pelvic fractures has been added to the Management of pelvic trauma page.
Trauma
Pelvic fracture management
The Management of pelvic trauma page has been revised and updated.
Penetrating colonic injuries
Some additional information about the management of penetrating colonic injuries has been added to the Penetrating trauma to the trunk page.
Massive transfusion score
The Treatment of hypovolaemia page has been updated with the addition of details about the Massive transfusion score (MTS) and revised MTS.
Splenic embolisation
The Splenic trauma page has been updated with some additional information about the role of embolisation.
Central cord syndrome – correction
The segment on central cord syndrome on the Spinal cord injury page has been corrected to reflect that weakness from central cord syndrome is greater distally than proximally in the limbs. Previously this was indicated to be the other way around due to the mistaken use of a ‘>’ sign instead of a ‘<‘ sign. … Read more
NEXUS chest criteria
The Assessment of the trauma patient page has been updated with additional information about the relative value of the NEXUS chest criteria in predicting significant thoracic injury.
Subcutaneous foreign bodies
The Subcutaneous foreign bodies page has been updated with additional information about imaging for foreign bodies.
Investigation of blunt head trauma
The Investigation of blunt head trauma page has been updated with additional information regarding the predictive ability of clinical findings and decision rules following the publication of the following article Easter, JS, Haukoos, JS, Meehan, WP, et al. Will neuroimaging reveal a severe intracranial injury in this adult with minor head trauma?: The rational clinical … Read more
CT of base of skull fracture
The Complications of head trauma page has been updated with an additional CT image of a base of skull fracture.
Head injury
Some minor changes have been made to the Head trauma page
Cervical epidural haematoma images
3 CT and MRI images of a cervical epidural haematoma have been added to the Spinal cord injury page.
NEXUS in older people
The Cervical spine injuries page has been updated with some additional information about the limitations of the NEXUS rules in patients > 65 years of age. Denver, D, Shetty, A, Unwin, D. Falls and Implementation of NEXUS in the Elderly (The FINE Study). The Journal of Emergency Medicine 2015;49(3):294-300. http://www.sciencedirect.com/science/article/pii/S0736467915002395.
MRI of L1 body fracture
An MRI image of an L1 body fracture has been added to the Thoracolumbar injuries page.
Thoracolumbar injury management
Some additional information about the management of thoracolumbar spinal fractures has been added to the Thoracolumbar injuries page.
Physical examination for thoracolumbar fractures
Some details of the test characteristics of physical examination for the detection of thoracolumbar fractures have been added to the Assessment of the trauma patient page. Inaba, K, Nosanov, L, Menaker, J, et al. Prospective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of … Read more
Rate of delayed ICH in anti-coagulated patients
The rate of delayed ICH following blunt head trauma has been downwardly revised on the Management of head trauma page following a recent review on the subject. This has implications for the need for admission and repeat CT head in this group of patients. Miller J, Lieberman L, Nahab B, et al. Delayed intracranial hemorrhage … Read more
Cervical immobilisation – or not?
The Spinal immobilisation page has been updated with information questioning the currently common practice of cervical immobilisation. (link)
Midbrain and subcortical contusions CT image
A CT image demonstrating midbrain and subcortical cerebral contusions has been added to the Complications of head trauma page.
Atlanto-occipital subluxation
A series of images demonstrating atlanto-occipital subluxation have been added to the Cervical spine fractures page.