POCUS For Shoulder Dislocation

POCUS For Shoulder Dislocation

Introduction

Shoulder (glenohumeral) dislocation is a common clinical presentation in the emergency department, comprising about 50 percent of all major joint dislocations. The large range of motion of the shoulder with minimal inferior tendinous support makes it prone to dislocation. Plain film radiography has been the imaging modality of choice for most clinicians when evaluating the ED patient with a suspected shoulder dislocation. Recent literature has demonstrated the superiority of point-of-care ultrasound (POCUS) in detecting both anterior and posterior shoulder dislocations, making it another rapidly evolving tool to improve accuracy, decrease error, and improve efficiency.

Avoid XRAY In Back Pain

Avoid XRAY In Back Pain

Back pain is one of the most common emergency department presenting complaints, evaluating back pain , treating patients’ symptoms and to diagnose potentially life- or limb-threatening causes not always an easy task.

Usually in Emergency Department , we do require for radiological imaging despite the fact that imaging is not associated with improvement in clinical outcomes. 

Approach To PALPITATION

Approach To PALPITATION

Palpitation is a perceived abnormality of the heartbeat characterized by awareness of heart muscle contractions in the chest: hard beats, fast beats, irregular beats, and/or pauses. They are both a symptom reported by the patient and a medical diagnosis. 

Palpitations should be considered as potentially more serious if they are associated with dizziness, near-syncope, or syncope.

APO - Basic Understanding

APO - Basic Understanding

Pulmonary edema is the accumulation of extravascular fluid in the air sacs or air spaces (alveoli) and parenchyma of the lungs. Abnormal (pathologic) fluid accumulation causes the lungs to become stiff and the air sacs of the lungs to become waterlogged. As a result, breathing becomes very difficult. Acute pulmonary edema is one of the most common life-threatening medical emergencies; intervention is needed as soon as the diagnosis is suspected.

Disaster Management - BASIC

Disaster Management - BASIC

Disaster Management defined to be a continuous and integrated process of planning, organizing, coordinating and implanting measures which are necessary or expedient for :

• Prevention of danger or threat of any disaster, 
• Mitigation or reduction of risk of any disaster or its severity or consequences, capacity-building
• Preparedness to deal with any disaster, 
• Prompt response to any threatening disaster situation or disaster, 
• Assessing the severity or magnitude of effects of any disaster, 
• Evacuation, rescue and relief and rehabilitation and reconstruction,
  

Management Of TBI

Management Of TBI

Traumatic brain injury (TBI) is a major medical and socio-economic problem, and is the leading cause of death inchildren and young adults. The main objectives in managing TBI are prevention and treatment of intracranial hypertension and secondary brain insults, preservation of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation.

In general, TBI is divided into two discrete periods: 

• primary and 
• secondary brain injury
  

Happy Deepavali

HAPPY DEEPAVALI

Traumagency Blog and Team wishing you a blessed Happy Deepavali

AIRWAY Assessment

AIRWAY Assessment

There are various definitions of “the difficult airway”, with no definition universally accepted : 

• In general terms, an airway is considered difficult when oxygenation and ventilation cannot be achieved in the desired manner
  
• ‘The difficult airway’ represents a complex interaction between patient factors, the clinical setting, and the skills and preferences of the practitioner

The 6D of Airway Management

The 6D of Airway Management

Assessment of the airway is recommended to predict the presence of a difficult airway before beginning airway management. The Mallampati classification system was implemented as a method to predict difficult intubation. However, its reliability as a predictor of difficult intubation has been questioned , and it assesses only one aspect of the airway for difficulty (i.e., intraoral disproportion). 

A comprehensive airway examination incorporates both quantitative and qualitative tests that together may increase the probability of predicting difficult intubation. One such system, the “6-D” method, introduced to examine the airway for six separate signs that can be associated with difficult intubation:

The Sarong CoverUp

The Sarong CoverUp

The Health Ministry has never issued any dress code for public hospitals and its facilities, said Deputy Health Minister Datuk Seri Dr Hilmi Yahaya.

He said there were no orders from the government or the Health Ministry on the issue and the public can wear anything as long as it is decent.

"The matter should not have arose, we have never issued any orders on how people should dress when going to government health facilities.

SARI For Tracheal Intubation

SARI For Tracheal Intubation 

The Simplified Airway Risk Index (SARI) is a multivariate model for airway assessment described by El-Ganzouri et al., enabling an estimation of the likelihood of a difficult direct laryngoscopy.

SARI studied under DIFFICAIR TRAIL in Denmark involving 28 Danish departments of anaesthesia and The Danish Anaesthesia Database (DAD) , a clinical database that contains selected quantifiable indicators, covering the anaesthetic process from the preoperative assessment through anaesthesia and surgery to the post-operative recovery period.

Seven parameters is used to calculate the SARI score: 

1. Mouth opening, 
2. Thyromental distance
3. Mallampati score
4. Movement of the neck
5. The ability to create an underbite
6. Body weight and 
7. Previously intubation history

Management Of NNJ 2015

Management Of NNJ 2015

Neonatal Jaundice (NNJ) or neonatal hyperbilirubinaemia is one of the most common medical conditions in newborn babies. All babies have a transient rise in serum bilirubin but only about 75% are visibly jaundiced. Jaundice is clinically detectable when the serum bilirubin levels are >85 μmol/L (5 mg/dl). 

Hyperbilirubinaemia is either unconjugated or conjugated. Without treatment, high levels of unconjugated bilirubin may lead to acute and chronic bilirubin encephalopathy. This may cause to neurodevelopmental problems including athetoid cerebral palsy, hearing loss and visual impairment.