Fast Friday #5 – Knee Injury Playing Football
A young footballer has injured their knee playing football? Do they need an X-ray and can you interpret the key findings?
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Category: Radiology
TBI Herniation Syndromes (Part 1: First Principles)
A 37-year-old man has been ejected from his car after crashing at high speed. He was initially mildly confused but then rapidly dropped his GCS to 8. The ambulance crew on scene have intubated him and whisk him into your emergency department.
During your primary survey, you noticed his left pupil is dilated and non-reactive.
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Will that scan give me cancer?
Every day I send patients for x-rays or CT scans to help with the diagnosis of various conditions. I often mention the “risk of radiation” to my patients, but truth be told is I’ve never really known how much risk there actually is.
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Neck radiographs: the stridulous child
So, behold the soft tissue x-rays. This is a historical Part 2 Exam favourite cropping up every few years in some form or another. Just to signpost, for what conditions might soft tissue neck x-rays be used with regards to acute diagnoses in the Emergency Department?
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A Pain in the Neck
A 60yo M presents to the trauma centre after his 4WD vehicle collided with a semi-trailer at 90km/hr. He was entrapped in the vehicle for more than 1 hour. At scene he has an unrecordable blood pressure and has had bilateral finger thoracostomies. He has received 4 units of blood en-route. On arrival to the ED he has suspected chest and head injuries and a large bore MAC line is inserted into his left subclavian vein, a massive transfusion protocol is commenced, chest drains inserted and upon stabilisation he is intubated for transfer to CT for a pan scan. En-route the ED registrar asks if we should image his carotid arteries to exclude a carotid injury?
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Retrograde Urethrogram
Pelvic fractures are pretty common, particularly if you work in a trauma centre. From a trauma resuscitation perspective, we’re usually most concerned with whether a pelvic injury is unstable with disruption of the pelvic ring, and if there is active arterial
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