ED teaching 11 September 19

Case based discussions:

Sinead presented a provocative case of submissive PE in a patient with a recent history of traumatic subarachnoid haemorrhage with prolonged hospital admission and no DVT prophylaxis. ED could help our inpatient teams by considering VTE prophylaxis in high risk patients from time they are identified for admission.

Trauma mini journal club

  • gabapentin in rib fratures not useful

  • no mortality benefit for panscanning

  • iv lignocaine useful as opioid-sparing analgesic for polytrauma

  • no management required for isolated transverse process fractures

Other topics

  • no zone approach to penetrating neck trauma

  • moxifloxacin for penetrating eye injuries

  • ECG and home for 240V electrocution

  • no need for C-spine hard collar immobilisation in hanging - just get them to CT

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Workshop

  • eFAST

  • retrograde urethrogram

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Simulation

  • peri-arrest blunt trauma pain with oesophageal intubation pre-hospital

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Thomas Brough