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Blast injuries are commonly thought of as incidents that occur in other countries, not here in the United States. The majority of clinicians are not prepared to deal with the devastation of a civilian blast incident and the resulting injury patterns. The author reviews expected injury patterns, triage decisions, and current therapies.
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This paper reviews the most common injuries related to winter sports. Over the past decades, there has been an increase in the variety of winter sports, as well as increased participation by individuals at all levels of fitness. There have also been some improvements made that reduce injuries. For example, breakaway ski boots have reduced the number of tibia and ankle fractures. With some sports becoming more dangerous with jumps and aerial moves, helmets are beginning to be more common, but sadly not fast enough.
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When a 37-year-old pregnant woman presented to an ED with right upper quadrant pain, nausea, vomiting, and diarrhea, communication between the emergency physician (EP) and the patients obstetrician became a key issue in the ensuing malpractice litigation.
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In the course of medical malpractice litigation, the plaintiff attorney claimed the emergency physician (EP) didnt see a patient with respiratory failure until 15 minutes after arrival. This was what the electronic medical records (EMR) time stamp showed, but it wasnt the case.
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After a 50-year-old man told an emergency physician (EP) that he thought his upper back pain was a result of using a pull crank to start his mower, the EP did a brief musculo-skeletal history and physical exam focused on the patients back pain, and discharged him with anti-inflammatory medication.
