CRACKCast E046 - Abdominal Trauma
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries · Brent Thoma
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Show Notes
This episode covers chapter 46 of Rosen's Emergency Medicine text book.
Episode Overview:
1) What are three mechanisms of injury in blunt trauma?
2) List expected seat-belt injuries
3) What are the most common intra-abdominal injuries in children?
4) Differentiate between the use of CT scan, diagnostic peritoneal lavage (DPL) and ultrasound – advantages & disadvantages.
5) List intra-abdominal injuries that may be missed on CT.
6) Describe the process of local wound exploration.
- List 5 ways to determine if peritoneum has been violated
7) List clinical indications for laparotomy in blunt and penetrating abdominal trauma
8) Describe the management of unstable blunt abdominal trauma
- Pelvic fracture
- Head injury (closed head injury)
- Wide mediastinum (aortic injury)
9) Provide an approach to anterior abdominal trauma with:
- Evidence of peritoneal violation (penetrating injuries)
- Evidence of intra-abdominal injury with blunt abdominal trauma
10) Provide an approach to flank injuries
11) Provide an approach to back injuries
Wisecracks:
1) Describe indications and technique of diagnostic peritoneal lavage (DPL). What is a positive DPL?
2) List 1 absolute contraindication and 4 relative contraindications to DPL
3) What is Waddel's triad?
4) What are Gray-Turner and Cullen's signs?
5) How much blood is detectable by bedside US?