Used to decompress accumulated edema under tight, unyielding eschar following full-thickness burn (classic and modern classifications of burns are given in TABLE 74.1) Circumferential extremity burn with evidence of neurovascular…
Clinical suspicion of joint dislocation Incidence of dislocations: Dorsal proximal interphalangeal (PIP) >> volar PIP >> dorsal metacarpal (MCP) thumb > dorsal MCP finger >> volar MCP dorsal distal interphalangeal…
For repair of a partial or complete tendon injury Partial laceration of the extensor tendons proximal to the metacarpophalangeal (MCP) joint may or may not require repair; those at or…
Dislocated Ankle Joint Demonstrated on plain radiographs Clinically dislocated with neurovascular compromise CONTRAINDICATIONS Open dislocations without neurovascular compromise may be better managed in the operating room for cleaning before reduction…
Clinical suspicion of hip dislocation Hip pain with obvious deformity in the setting of a motor vehicle crash, pedestrian struck by a vehicle, falls, or sports-related injuries Radiographic evidence of…
A Colles fracture is a transverse fracture through the distal 2 to 3 cm of the radial metaphysis where the distal fragment is dorsally displaced and angulated. The most common…
Suspected compartment syndrome Rising creatine phosphokinase (CPK) level without a source in the setting of trauma CONTRAINDICATIONS Relative Contraindications Overlying skin cellulitis Coagulopathy RISKS/CONSENT ISSUES Pain (site of needle insertion)…
To evacuate abnormal collections of air or fluid from the pleural space in the following conditions: Pneumothorax Hemothorax Chylothorax Empyema Recurrent pleural effusion Prevention of hydrothorax after cardiothoracic surgery CONTRAINDICATIONS…
A sensitive way to evaluate for intra-abdominal injury in the trauma patient In Blunt Trauma Unexplained hypotension Concern for injury but no obvious indication for laparotomy and serial abdominal examinations…
