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Grand Rounds Recap 1.12.22
Joins us for another week of Grand Rounds as Dr. Moulds breaks down platelet disorders, Dr. Alden Landry joins us to discuss disparities in healthcare, Dr. Urbanowicz laughs her way through her R4 Capstone on the science of laughter, and we team up with our alloys at CCHMC PEM to learn about iron toxicity.
Grand Rounds Recap 1.5.22
During this week’s Grand Rounds, Dr. Walsh presented Morbidity and Mortality, Dr. Thode discussed complications of Group A Streptococcal infection, Dr. Harward oriented us to submersion injuries, Drs. Pancioli and Paul Gordon shared opportunities for medical device innovation and engineering collaboration, Dr. Brower shared pearls on facial fracture diagnosis and management, and Drs. Fabiano and Thompson went head-to-head in a CPC to diagnose thyrotoxicosis.
Face the Music: Emergency Management of Facial Fractures
Maxillofacial trauma is common in the emergency department as ~80% of patients with polytrauma sustain injuries to the head, face, and/or neck. The most common etiologies of facial fractures are: assault (36%), motor vehicle accidents (32%), falls (18%), sports injuries (11%), occupational injuries (3%), and gunshot wounds (2%).3 The most commonly fractured facial bones are (in descending order): nasal bones, orbital floor, zygomaticomaxillary complex, maxillary sinuses, mandibular ramus, and the nasoethmoidorbital. This post will review the general approach to evaluation of maxillofacial trauma in the ED followed by specific management recommendations for various fracture patterns.