article thumbnail

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room. Preperitoneal Packing While most often done in the operating room, PPP may be done in the trauma bay in rare instances depending on the institution.

ED 54
article thumbnail

How To Manage Tracheo-Innominate Fistula

ACEP Now

13 Emergency Management The immediate management includes overinflation of the cuff of the tracheostomy or endotracheal tube, and aspiration of blood to clear the airway. Approximately 35-50 percent of patients develop a sentinel bleed prior to life-threatening hemorrhage.

E-9-1-1 52
article thumbnail

Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

AAEM RSA

Conclusion: Positive outcomes in diagnosis and management of FG rely on rapid intervention as soon as it is suspected. A thorough physical exam, imaging, and laboratory studies can assist, but definitive diagnosis can only be made in the operating room. Fournier's gangrene and its emergency management.