Tag Archives: Trauma

Orthopedic Trauma, Print Release

PUBLISHED: Open Reduction and Internal Fixation of a Trimalleolar Ankle Fracture

Open Reduction and Internal Fixation of a Trimalleolar Ankle Fracture
Michael J. Weaver, MD
Brigham and Women’s Hospital

The goal of ankle fracture management is to restore a stable and congruent joint. Operative management is recommended for most displaced fractures, fractures with dislocations, and open fractures.

This video article walks through the surgical management of a 23-year-old male who sustained a trimalleolar ankle fracture with concomitant dislocation and syndesmotic injury following a motor vehicle collision. Dr. Weaver discusses the surgical landmarks and approaches to the ankle, the methods of fixing the malleoli and the syndesmosis, and common concerns that arise during the surgical management of ankle fractures.

Preprint Release, Trauma

PREPRINT RELEASE: AIRWAY TECHNIQUES AND EQUIPMENT

Airway Techniques and Equipment
UChicago Medicine

Dany Accilien, MD
Emergency Medicine Resident
The University of Chicago Pritzker School of Medicine

Dexter C. Graves, MD
Emergency Medicine Resident
The University of Chicago Pritzker School of Medicine

Nicholas Ludmer, MD
Assistant Professor of Emergency Medicine
The University of Chicago Pritzker School of Medicine

Stephen Estime, MD
Assistant Professor of Anesthesiology and Critical Care
The University of Chicago Pritzker School of Medicine

Abdullah Hasan Pratt, MD
Assistant Professor of Emergency Medicine
The University of Chicago Pritzker School of Medicine

In this video, Dr. Pratt goes over airway management techniques in trauma resuscitation. It outlines the preparation and equipment used in patients with impending airway failure that require manual or mechanical ventilation. Also discussed are the innovative airway towers used in the University of Chicago emergency room as well as the general approach to airway management. The different types of laryngoscopy, assist devices, and cricothyroidotomy surgical airway procedures are also presented.

General Surgery, Print Release, Trauma

PUBLISHED: Extended Focused Assessment with Sonography for Trauma (EFAST) Exam

Extended Focused Assessment with Sonography for Trauma (EFAST) Exam
UChicago Medicine

Daven Patel, MD, MPH
Resident Physician
Emergency Medicine

Kristin Lewis, MD, MA
Resident Physician
Emergency Medicine

Allyson Peterson, MD
Resident Physician
Emergency Medicine

Nadim Michael Hafez, MD
Assistant Professor of Medicine
Emergency Medicine

This video covers information related to the FAST exam, which evaluates the pericardial, hepatorenal, splenorenal, and suprapubic regions for free fluid in a trauma patient as well as the extended version, which includes an additional evaluation of the pleural spaces for a pneumothorax. It goes through probe selection, probe placement and image acquisition, image optimization, and pitfalls and pearls for the subxiphoid/subcostal, right upper quadrant, left upper quadrant, suprapubic, and pleural views.

General Surgery, Preprint Release, Trauma

PREPRINT RELEASE: Airway Equipment

Airway Equipment

Nicholas Ludmer, MD
Assistant Professor of Emergency Medicine
UChicago Medicine

Abdullah Hasan Pratt, MD
Assistant Professor of Emergency Medicine
UChicago Medicine

Stephen Estime, MD
Assistant Professor of Anesthesia and Trauma Critical Care
UChicago Medicine

In this video, Dr. Ludmer at UChicago Medicine describes the airway equipment that they have available for when a patient has an airway problem.

General Surgery, Preprint Release, Trauma

PREPRINT RELEASE: Airway Assessment for Trauma Patient

Airway Assessment for Trauma Patient

Nicholas Ludmer, MD
Assistant Professor of Emergency Medicine
UChicago Medicine

Abdullah Hasan Pratt, MD
Assistant Professor of Emergency Medicine
UChicago Medicine

Stephen Estime, MD
Assistant Professor of Anesthesia and Trauma Critical Care
UChicago Medicine

In this video, Dr. Ludmer at UChicago Medicine describes the airway assessment for a trauma patient.

General Surgery, Preprint Release, Trauma

PREPRINT RELEASE: Pharmacology for Rapid Sequence Intubation (RSI) Airway Management in Trauma Patients

Pharmacology for Rapid Sequence Intubation (RSI) Airway Management in Trauma Patients
UChicago Medicine

Laura Celmins, PharmD, BCPS, BCCCP
Clinical Pharmacy Specialist
Emergency Medicine

In this video, Laura Celmins, a clinical pharmacist in the emergency department at UChicago Medicine, discusses rapid sequence intubation (RSI) medications as part of the airway management for trauma patients.

Announcement, Content, Orthopedic Trauma, Orthopedics, Print Release

PUBLISHED: Less Invasive Stabilization System (LISS) for Distal Femur Fracture Repair

Less Invasive Stabilization System (LISS) for Distal Femur Fracture Repair
Brigham and Women’s Hospital

Michael J. Weaver, MD
Associate Orthopaedic Surgeon, Brigham and Women’s Hospital
Assistant Professor of Orthopedic Surgery, Harvard Medical School
Brigham and Women’s Hospital

The patient in this case is an 81-year-old male with dementia who sustained an unwitnessed fall that resulted in a displaced intra-articular distal femur fracture. Here, Dr. Weaver at Brigham and Women’s Hospital repairs the fracture by performing an open reduction and internal fixation with a LISS plate. An anterolateral approach was used to visualize the joint surface and obtain an anatomic reduction of the articular surface, and a percutaneously-placed lateral lock plate was used to bridge the area of comminution while restoring length, alignment, and rotation to hopefully allow for biologic fixation that permits the bone to heal well.

General Surgery, Preprint Release, Trauma

PREPRINT RELEASE: Trauma Resuscitation Demonstration in a Stable Patient with a Minor Perforating Wound

Trauma Resuscitation Demonstration in a Stable Patient with a Minor Perforating Wound
UChicago Medicine

Priya Prakash, MD
Assistant Professor of Surgery
Trauma, Critical Care, and Emergency Surgery
UChicago Medicine

The patient in this case is a 17-year-old male who presented in stable condition with a minor, superficial, perforating saber wound. In this video article, Dr. Priya Prakash at UChicago Medicine demonstrates a trauma resuscitation and removes the saber.

General Surgery, Preprint Release, Trauma

PREPRINT RELEASE: Extended Focused Assessment with Sonography for Trauma (EFAST) Exam


Extended Focused Assessment with Sonography for Trauma (EFAST) Exam
UChicago Medicine

Daven Patel, MD, MPH
Resident Physician
Emergency Medicine

Kristin Lewis, MD, MA
Resident Physician
Emergency Medicine

Allyson Peterson, MD
Resident Physician
Emergency Medicine

Nadim Michael Hafez, MD
Assistant Professor of Medicine
Emergency Medicine

In this video, Dr. Hafez discusses and demonstrates how to perform an EFAST exam.

General Surgery, Preprint Release, Trauma

PREPRINT RELEASE: Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma


Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma
UChicago Medicine

Brian Williams, MD
Associate Professor of Trauma and Acute Care Surgery
Co-Director, Surgical Intensive Care Unit

Ashley Suah, MD
Resident Physician
General Surgery

Daven Patel, MD, MPH
Resident Physician
Emergency Medicine

Nadim Michael Hafez, MD
Assistant Professor of Medicine
Emergency Medicine

The patient in this case was assaulted and sustained blunt force trauma to the abdomen. She was intermittently hypotensive, FAST exam revealed free fluid, and CT scan showed a grade IV splenic laceration. Here, Dr. Williams and Dr. Suah at UChicago Medicine perform an exploratory laparotomy and splenectomy.