Coagulopathy following severe brain injury
The Disorders of clotting page has been updated with additional information about the coagulopathy associated with severe traumatic brain injury.
Trauma
Pelvic radiography
The Assessment of the trauma patient page has been updated with additional information about the indications for radiography and the high negative predictive value of clinical examination in patients able to be assessed clinically.
Other causes of shock following trauma
A substantial segment on Assessment of shock in trauma has been added to the Assessment of the trauma patient page. This is intended as a reminder that there are numerous other potential causes for shock in the patient with major trauma undergoing resuscitation, other than just blood loss.
Clinical judgement in paediatric head injury
The Paediatric head trauma page has been updated to reflect that expert clinical judgement is superior to the commonly cited paediatric head injury rules.
CTA of cardiac penetration
The Penetrating thoracic trauma page has been updated, including a CT image of biventricular penetration.
Cervical spine injury in low velocity GSW
The Cervical spine injuries page has been updated, including information about the low risk of cervical spine injury in isolated low velocity gunshot wounds.
Put the amputated part in a jar
The Digital amputations page has been updated with the recommendation to put amputated parts into a jar, rather than a plastic bag, before putting them in cold water or ice.
Nail bed laceration repair
The Nail injuries page has been updated, including clarification of the lack of need to remove an intact nail to determine if nail bed injury is present.
MRI of the shoulder
The Soft tissue injuries of the shoulder region has been updated to suggest that MRI is the investigation of choice for evaluation of suspected acute soft tissue injuries around the shoulder.
Tension pneumocranium CT
A CT image of tension pneumocranium has been added to the Complications of head trauma page.
Pneumocranium
A new segment on Pneumocranium has been added to the Complications of head trauma page.
Displaced Dens fracture image
A plain film showing a markedly displaced Dens fracture has been added to the Cervical spine fractures page.
Nikolsky sign in burns – correction
The Burn depth assessment algorithm on the Burn wounds page has been updated to indicate that the Nikolsky sign is absent in epidermal burns and present in partial thickness burns. Previously the algorithm mistakenly indicated the opposite. Thanks to Jess for picking this up.
ATMIST
The Assessment of the trauma patient has had a few minor revisions, including the addition of AT to the MIST acronym.
CT of traumatic rectus sheath haematomas
The Assessment of abdominal trauma page has been updated with a CT image of bilateral traumatic rectus sheath haematomas.
CT of subgaleal haematoma
The Management of head trauma page has been updated with a CT image of a subgaleal haematoma.
Sternal fracture CT image
A CT image demonstrating a sternal fracture with retrosternal haematoma has been added to the Chest wall injuries page.
Spinal epidural haematoma
The Spinal cord injuries page has been updated with a short segment on spinal epidural haematoma.
Cervical spine image – correction
The image of the bones of the upper cervical spine on the Spinal injuries page has been updated so that C1 and C2 are now labelled correctly. Previously C1 was mis-labelled as C2 and vice versa. Thanks to Ming for spotting this.
MRI of cerebral fat embolism
An MRI image of cerebral fat embolism has been added to the Non thrombotic embolism page.