Renal injury grading system
The Urogential trauma page has been updated with an update of the renal injury grading system to bring it in line with the 2018 AAST revision.
Trauma
Hepatic injury grading – correction
The Hepatic trauma page has been updated with a correction. A grade II injury is one with an parenchymal haematoma of < 10cm diameter, not 2cm diameter as previously stated. Thanks to Sahba for picking this up.
Liver injury grading system
The Hepatic trauma page has been updated with an update of the injury grading system to bring it in line with the 2018 AAST revision.
Splenic injury grading update
The Splenic trauma page has been updated with an update of the injury grading system to bring it in line with the 2018 AAST revision.
Atlas = C1 and axis = C2
Due to the common confusion between the axis and atlas, wherever possible the names of the these vertebra have been replaced with C1 and C2.
Indications for CT head in the anti-coagulated elderly
The Investigation of blunt head trauma page has been updated with additional information about indications for CT head in the anti-coagulated elderly following falls from a standing height.
Os odontoideum – correction
The segment of os odontoideum on the Cervical spine injuries page has been corrected to read that it is a .failure of fusion of tip of the dens to the body of C2, instead of to the body of the atlas as previously written.Thanks to Sahba for picking this up.
Time to decompression in spinal cord injury
The Spinal cord injury page has been updated, including additional information about time to decompressive surgery.
4:4:1 transfusion ratio in major trauma
The Management of major trauma page has been updated to include a revised transfusion ratio of 4:4:1.
Bicortically displaced rib fractures
Some information about bicortically displaced rib fractures has been added to the Chest wall injuries page.
Erector spinae block
A short segment on erector spinae blocks has been added to the Chest wall injuries page.
Chest wall injuries
The Chest wall injuries page has had a number of improvements in wording and minor updates.
Rotterdam CT head score table
The Rotterdam CT score and mortality rate on the Head injury prognosis page has been converted from text to a table.
Glasgow outcome score table
The Glasgow outcome score on the Head injury prognosis page has been converted from text to a table.
Repeat head CT in patients on DOACs
The Management of head injury page has been updated with additional information about the lack of utility of repeat head CT in patients on DOACs who have a normal initial CT.
Repeat CT head in patients on warfarin
The Management of head injury page has been updated with improved clarity regarding the indications for repeat head CT in patients on warfarin who have a normal initial CT.
CT image of open clivus fracture
The Complications of head trauma page has been updated with a CT image of an open fracture of the clivus.
Penetrating neck wounds
The Penetrating neck wounds page has been updated with additional information about managing the partially transected airway.
Blast proximity and pattern of injury
The Patterns of injury page has been updated with information about the blast related injury pattern in relation to proximity to the blast.
Assessment and management of missile injuries
The Missile injuries page has been updated with some additional information about assessment and management