TMJ Dislocation Reduction Made Easy

Syringe Technique: With the patient in a sitting position, the physician places a 5 or 10 ml syringe between the posterior upper and lower molars or gums on the affected side. The patient is asked to gently bite down and grasp the syringe as the patient is instructed to roll the syringe back and forth, […]

Rhabdomyolysis

Rabies vaccines and immunoglobulins: WHO position

PEP consists of the following steps: All bite wounds and scratches should be attended to as soon as possible after the exposure; thorough washing and flushing of the wound for approximately 15 minutes, with soap or detergent and copiousamounts of water, is required. Where available, an iodine-containing, or similarly viricidal, topicalpreparation should be applied to […]

Spinal stabilisation of adult trauma patients

A strong recommendation against spinal stabilisation of patients with isolated penetrating trauma; a weak recommendation against the prehospital use of a rigid cervical collar and a hard backboard for ABCDE-stable patients; and a weak recommendation for the use of a vacuum mattress for patient transportation. Finally, our group recommends the use of our clinical algorithm […]

All Shock Explained

Road Traffic Crash Response & Emergency Medical Care

Utilisation of bystander training programs targeted at groups such as boda-boda riders and PSV drivers can assist in closing prehospital emergency care management gaps; while the creation of trauma centres institutes the first step in creating a trauma network to more efficiently address post-crash emergency care.

Tranexamic Acid

TXA is a safe, inexpensive medication that prevents fibrin breakdown.  In traumatic bleeding, it conveys a significant mortality benefit with an impressive NNT for mortality between 7 and 67, depending on injury severity, without apparent serious safety issues.  This benefit is associated with early administration.  TXA should not be given more than three hours after […]

CRASH-3 Trial: Tranexamic Acid in Mild-Moderate Head Injury

CRASH-3 Trial examined the effect of tranexamic acid on head injury-related death in adults with TBI who were within 3 h of injury, had a Glasgow Coma Scale (GCS) score of 12 or lower or any intracranial bleeding on CT scan, and no majorextracranial bleeding. The results indicated a reduction in the risk of head […]

The Very Young Paediatric C-Spine Rarely Needs Radiologic Clearance

“Absence of clinical findings reliably excludes unstable cervical spine injuries in children 5 years or younger…DON’T X-RAY”

Detecting Child Abuse in the Emergency Department

When there is concern for physical abuse, the physical examination should be completed with the child undressed (in a gown), with specific attention to the skin, scalp and fontanel, mouth and oral cavity (including frena), ears, genitalia, and growth chart. Any injury in a preambulatory child, including bruises, mouth injuries, fractures, and intracranial or abdominal […]