Author: Charlotte Oates /Â Editor: Jason Kendall / Reviewer: Tadgh Moriarty, Ciaran Mackle / Codes: GP1, SLO4, SuP1, TP5 /Â Published: 22/09/2023
A 23-year-old man presents to the Emergency Department (ED) following a rugby tackle with left rib pain.
Examination reveals only left lower chest and focal LUQ tenderness, the rest of his abdomen is soft with normal bowel sounds, no bruising and he is haemodynamically stable.
CXR is normal and urine dip shows +1Hb.
Despite good analgesia he is still complaining of pain.
Module Content
Ultrasound Guided Serratus Anterior Plane Block
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This session outlines the ultrasound guided technique.
Abdominal Trauma
The assessment of abdominal trauma is notoriously difficult. Serious intra-abdominal injuries may initially appear to be innocuous and localisation of symptoms is variable.
Soft Tissue Injuries of the Hand
This session presents a logical approach to the assessment, diagnosis and management of soft-tissue hand injuries in the ED, including suggested indications for early hand specialist referrals.
12 Comments
excellent learning point. Seen an identical case only last week.
Good reminder of grades of splenic injury
BRILLIANT CASE
GOOD TO KNOW DIFFERENT GRADES OF SPLENIC LACERATION
? ASPIRIN POST SPLENECTOMY
tricky CT
Interesting case
Good case, thanks
good
Nice case
Good pick up
NICE CBD!
Good case
Important and interesting case