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The Initial Evaluation and Clearance of Spinal Injuries in Emergency Medical Practice

The initial evaluation and management of patients with potential spinal injuries in emergency medicine practice is in evolution. The authors thoughtfully explore the evidence available and its limitations.

Blast Injuries

Explosions occur in a variety of settings and have multiple causes. All emergency healthcare providers need to be aware of and prepared for blast injury patterns and the hazards that can be associated with blast incidents.

Electrical and Lightning Injuries

Although electrical injuries are rare, patients who present with these injuries to emergency departments pose particular challenges to emergency physicians and trauma surgeons.

Ultrasound for Trauma

Point-of-care ultrasound is a critical clinical tool that facilitates the early diagnosis of many life-threatening injuries. As with any test, clinicians need to fully appreciate indications and limitations of the diagnostic tool and integrate where advantageous to their practice.

Man-made Disaster: In-hospital Management

Man-made disaster directly impacts the emergency department and hospital when a mass casualty situation ensues, and is the focus of this review article. Using contemporary examples and the current literature, what follows is a primer on the causes, injury patterns, resource utilization, triage, and preparation for man-made mass casualty events.

Pediatric Head Injury

The impact of traumatic brain injury as a leading cause of death and morbidity in the pediatric population cannot be ignored, and significantly impacts any provider who cares for children.

Damage Control Resuscitation

MONOGRAPH: Exsanguinating hemorrhage is one of (if not the) most common preventable cause of death after trauma.

Evaluation and Management of Traumatic Wounds

Traumatic wounds are a common cause of ED visits and are often managed exclusively by the emergency medicine provider. Most of these patients are evaluated, appropriately treated, and discharged with satisfactory outcomes. Although outcomes are similar, there are no specific preferred treatments for traumatic wound injuries, and this requires the emergency provider to develop comprehensive efficacy strategies on how to approach these common injuries. Wound closure materials, techniques, and management strategies vary widely, with both the preferences of the physician and the patient influencing the final decisions.