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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Figure 1. Study design and outcomes.

The Cheese - Small vs Large Bore Thoracostomy Tubes

December 20, 2024

Tube thoracostomy is generally the recommended treatment for a traumatic hemothorax. However, there is no consensus on optimal catheter size.  In recent years, there has been a move from using small bore tube thoracostomy (SBTT) for pneumothorax. SBTT provide increased patient comfort and seem to be equally as effective for pneumothorax. That said, what does the literature say about SBTT for hemothorax?

Kathryn McGregor, MD; Taylor Wahrenbrock, MD; Eric Leser, MD; and William Brigode, MD

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In Trauma
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MS4 Infographic - Orbital Compartment Syndrome

May 21, 2024

Ocular emergencies are commonly evaluated for and rarely found. Most are managed medically, but there is one which requires procedural management of the emergency physician. Here we discuss diagnosis and management of ocular compartment syndrome provided by one of our rotating medical students.

Lilian Zapata, MS4

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In HEENT, Trauma Tags HEENT
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The Cheese - Antibiotic Prophylaxis for Traumatic Injuries

January 12, 2024

The literature on antibiotic prophylaxis for traumatic wounds is usually poor and tends to be left to EM physician gestalt or subspecialty preference. In the case of someone without access to subspecialist consultation in a young, healthy patient, understanding the literature may help us decrease our antibiotic prescribing and become better antibiotic stewards. Here, we review some common clinical conditions in which the ED physician may feel comfortable giving or not giving antibiotics using an evidence-based approach.

Jose Reyes, MD

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In Trauma, Pharmacology Tags Infectious Disease, Pharmocology
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