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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Friday, May 13, 2016

Stab To The Diaphragm

The Trauma Professional´s Blog - by Michael McGonigal - May 10, 2016
"Bottom line: The authors somehow looked at the numbers and concluded that CT is valuable for detecting left diaphragm injury. Huh? They missed 7% of injuries, only finding them later at laparoscopy. And they had a 31% negative laparotomy rate. 
Now, it could be that the authors were using crappy equipment. Nowhere in their paper do they state how many detectors, or what technique was used. Since it took place over a 5 year period, it is quite possible that the earlier years of the study used equipment now considered to be out of date, or that there was no standardized technique.
CT may not yet be ready for prime time. But it can be a valuable tool. Tune in tomorrow for some tips on how and when to look for this insidious injury."
The Trauma Professional´s Blog - by Michael McGonigal - May 11, 2016
  • Step 1. Stable or unstable? 
  • Step 2. Mark the sites of penetration and take a chest x-ray. 
  • Step 3. Examine the abdomen. 
  • Step 4. Right side? 
  • Step 5. Left side? 
  • Step 6. Admit and observe. 
  • Step 7. Make sure your patient gets a follow up evaluation.