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EM Clerkship

Genitourinary Trauma

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 13 November 2016

⏱️ 10 minutes

🧾️ Download transcript

Summary

Four important injuries. Four different imaging studies to obtain. Step 1: Obtain Pelvic X-Ray Commonly performed at bedside as part of initial trauma evaluation A pelvic injury significantly increases risk of GU injury Step 2: Examine the Perineum Common signs of GU injury Blood at urethral meatus Bruising of the perineum Step 3: Obtain Urinalysis […]

Transcript

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0:00.0

Hello, med students. My name is Zach Olson, and thank you for downloading this episode of the EM Clerkship Podcast.

0:11.3

Let's keep talking trauma. We're almost done. Here's this week's case.

0:26.6

Okay, everyone, this is Tyler. He's a 17-year-old male involved in a skateboarding accident. It's going to be a straddle-type mechanism. The folks on scene said he came down, full body weight right onto the rails, right onto the drawing area.

0:34.6

There was no LLC. Guests complain in bilateral risk pain, but no deformities

0:40.3

were noted. No head or neck complaints, no altermentation, and no LOC. BP we had was 120 over 60

0:49.3

He volts 100. Respirations is 16, clear or equilaterally. Leuco coastal 120, GCS-50 in the whole time,

0:56.5

and if you can let them know that security has the skateboard.

0:59.9

It's in two pieces.

1:03.4

Yeah, okay.

1:10.7

This week, we're covering genital urinary trauma.

1:14.2

So much attention gets paid to head trauma and the chest injuries and abdominal injuries

1:18.4

that by about this time we stop studying and we don't learn GU trauma.

1:25.2

But this stuff is so important.

1:27.7

It's really common and can cause lots of long-term morbidity, if not treated appropriately

1:33.0

up front.

1:34.3

So stick with me today.

1:35.6

We are going to learn GU injuries.

1:40.0

And the most important thing that I want you to remember is four injuries, four imaging studies.

1:47.6

That's right.

1:48.2

Four different imaging studies today.

1:50.8

Each one is paired with a different GU injury.

1:53.9

So let's get started.

...

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