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Emergency Medicine & Trauma Update – Bloomington, MN 10/28/10

“Torso Trauma Update” presented at 8:40AM.

For a copy of the slideset, click here.

Bibliography:

  • What is the utility of focused assessment with sonography in trauma (FAST) exam in penetrating torso trauma? Injury, in press, 2010.
  • CT of blunt abdominal and pelvic vascular injury. Emerg Radiology 17:21-29, 2010
  • More operations, more deaths? Relationship between operative intervention and risk-adjusted mortality at trauma centers. J Trauma 69(1):70-77, 2010
(Source: https://www.youtube.com/)
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Will Our Phones Help Save Us From Being Distracted By Our Phones?

I’ve written many posts on the perils of texting and driving. Everybody knows it’s bad, but they still do it. It’s tough for police to detect, let alone enforce.

How to deal with this problem? Well now, there’s an app for that!

AdelaVoice has released a free app for Android phones that allows the user to interact with their phone without touching or even looking at it. It’s called StartTalking and lets the user send and listen to texts, post to Twitter or Facebook, as well as other tasks. To visit their website, click here.

I think that this app could dramatically improve road safety if it works as advertised. However, I also don’t think it’s the final answer, because research has also shown that just talking on the phone is a distraction and leads to accidents, too.

It will be very interesting to see where this type of solution leads us.

Disclosure: I have no financial interest in AdelaSoft or StartTalking. I don’t even own an Android phone!

(Source: http://www.youtube.com/)
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Epley’s Maneuver For Vertigo After TBI

Some people experience vertigo after suffering a TBI. This may occur because small calcium carbonate crystals that are normally attached to a membrane in the middle ear are dislodged by the trauma. They can then settle within the semicircular canals. When the head is turned or moved, they brush against the sensitive hairs, sending false signals to the brain. This can result in dizziness, nausea and vertigo. 

The Epley maneuvers were designed to move the crystals back out of the semicircular canals, where they can adhere to the membrane again. They consist of a pattern of head movements that should be performed by a trained professional. This is very important because the maneuvers may induce nausea requiring antiemetics. Certain head movements must be limited for a few days after the maneuvers to make sure the crystals stay in position. The overall success rate is about 80%, but on occasion the maneuvers must be repeated for success.

The video demonstrates the basics of the maneuvers. Remember, don’t try this at home by yourself. Seek out a therapist who is experienced with them.

(Source: https://www.youtube.com/)
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