Advantages: Patient position: Supine with a roll under the knee to allow knee flexion Tourniquet: Not used unless required Incision: Superficial dissection: 1. Fascia is incised in line of incision & sharply dissected off the vastus lateralis muscle laterally to its inclusion with the iliotibial band, to expose the quadriceps…
Tag: Trauma
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Spleen, Liver, Kidney Trauma
Approach to abdominal trauma has been discussed earlier. Spleen Injury Liver Injury Kidney Injury General 2nd m/c injured intra-abdominal organ in blunt trauma m/c injury requiring operative intervention in blunt trauma m/c injured intra-abdominal organ overall m/c injured intra-abdominal organ in blunt trauma m/c from blunt trauma maximum warm ischemia…
Clinical Skills and Approaches 
An approach to Abdominal Trauma
Abdominal Trauma Abdominal trauma can be broadly classified into: Both of these have different approach of management. In case of any trauma, you need to go serially as per ATLS guidelines, i.e., the primary survey followed by the secondary survey. For quick recap, primary survey includes: Note: according to ATLS,…
Emergency Medicine 
C-spine Clearance
C-spine clearance refers to a clinical decision suggesting the absence of acute bone related, ligamentous and neurologic abnormalities of the cervical spine based on history, physical exam and/or negative radiologic studies. NEXUS criteria for C-spine Clearance NEXUS (National Emergency X-Radiography Utilization Study) is a set of validated criteria used to decide…