Discover and read the best of Twitter Threads about #Trauma

Most recents (24)

Today the European Commission will publish a proposal for a new law which will make the interception, analysis and monitoring of *ALL* digital communications (messengers, forums, direct messages etc.) mandatory.

#privacy #humanrights #chatcontrol #surveillance #dignity #csam
Let me be clear - this is ILLEGAL under EU Treaties and Case Law under the principles of proportionality and necessity. This new law will turn the EU into a surveillance state.

#privacy #humanrights #chatcontrol #surveillance #dignity #csam #childsexualabuse
500 million citizens will be subjected to complete blanket surveillance - the impact on privacy will be profound. Everything we have fought for since 1949 - our values, our principles, our democracy and our human rights, will be undone with the scratch of a pen.
#privacy #csam
Read 45 tweets
Thread 🧵: Reflections of a Parent/Caregiver After Six Years Implementation of CDC Guidelines (warning long but I am very interested in feedback)

Since babies, my kids, have intimately known #pain. At one time their #pain was intermittent & #acute. Sadly, they now struggle 1/
#chronicpain & are young adults. Our kids 1st 13/16 years of life, our family had a #safetynet, their #pediatrician. He was highly intelligent, compassionate, he challenged the system & in the most authentic sense #partnered with families. #Pain was not a major concern when 2/
the kids were under his care. The nature of their disease often brought us to the ER & hospitalizations. The hospitalizations resulted due to inability to manage #pain, dehydration, & other issues caused by a flare in their #disease. My husband & I attempted to minimize the 3/
Read 45 tweets
TY @innodim for inviting me to speak! My cognitive PEM wouldn’t let me be great but I appreciate her encouragement & summary! Want to be sure my main points are clear in re to Black Maternal #Mental Health, Perinatal Mood & Anxiety Disorders #PMADs, & disparities.#AIMART #BMHW22
I am no expert, so I'll share what I know. Black mothers are more at risk of #PMADs & are less likely to receive treatment b/c the structural social & economic inequities as a result of #antiBlack #racism & #misogynoir in this white supremacist patriarchal society.#BMHW22
“Close to 40% of Black mothers will suffer from postpartum depression [(PPD)]” OR ‘Systemic racism & sexism harm Black mothers which manifest as PPD for a reported ~40%.’ Addressing these risk factors associated w PMAD is key:
Lack of access to high-quality medical care
Read 20 tweets
🧵1. #IPERN officially launched on #StPatricksDay 2021 so it's our 1st birthday today!🎂🚑☘ It's been quite a year - we've hosted 10 events featuring 49 speakers (31% International 🌍 65% Female 🚺). Presented at 3 conferences, secured 3 grants and launched 5 SIG! #IrishEMS
2. How it all began… we announced ourselves to the Twitter world on Feb 1st '21. In Ireland this is traditionally the start of Spring (#Imbolc) so a time for new beginnings. It’s also St. Brigid‘s Day our matron saint who Is renowned as a healer #IrishEMS tinyurl.com/2p8w2zwt
3. Our official #IPERN launch on #StPatricksDay 2021 featured a fantastic array of Irish researchers presenting "elevator pitches" of their work and also included best wishes from international friends & colleagues! tinyurl.com/2p92at99 #IrishEMS
Read 34 tweets
#Parenting
#Trauma

Kashmir Files has given us one more opportunity to look at how we react to others' trauma.

This is important skill beacuse as parents we are constantly puzzled by need to give "appropriate" reaction to children's experiences.

Let's see how we can help.
First principle - hear it out.
If you let children talk about their experience without interruption, they will be able to verbalize their feelings and that act itself is helpful as brain finds words to express and contain distress.
Do not ask for justification of feeling - there is never a justification for an emotion. It is a natural reflex.

All explanations are post-hoc justifications. They have no real meaning.
Read 8 tweets
An in-depth review of Tibial Pilon Fractures.

If you’re interested in orthopedics, you’ll definitely want to check this review out.

🦴⚒️🧵👇

To view our past reviews, visit:
💻 myorthoreviews.com📱 Image
Most tibial pilon fractures result from high-energy axial loading through the talus.

They are also commonly referred to as Tibial Plafond fractures. The tibial plafond is the distal articular surface of the tibia, which gained the name from its French meaning, "ceiling". Image
The term tibial pilon was first used by Étienne Destot in 1911 to describe the interaction of the distal tibia and talus during axial loading.

Pilon is the French term for "pestle".

The term was later adopted as a term for vertical impaction fractures of the distal tibia. Image
Read 14 tweets
Thermobarics: a primer

First, here is a great chemistry thread by @johnismay.

Summary: thermobarics are a type of explosive that seek to lengthen the time for which the blast produces HEAT ("thermo") and PRESSURE ("baric")

But why does this increase injuries & damage?...(1/10)
(2/10) All explosives cause damage through the pressure wave they produce (in addition to things like shrapnel). The outwardly expanding pressure wave is why you might escape w/burns if you hold a firecracker on an open palm, but you will lose your hand if you close your fingers.
(3/10) If the pressure wave lasts a long time, it is hitting targets with that elevated pressure for a longer time.

Think of pressure washers: focus the flow on one spot, that spot can get damaged. Longer pressure waves mean more energy/damage imparted to anything that gets hit.
Read 11 tweets
A review of upper extremity Eponym Fractures.

It is important for clinicians to be aware of eponymous fractures as they are commonly used and allow for a succinct description of sometimes complex injuries.

🦴⚒️🧵👇

To view our past reviews, visit:
💻 myorthoreviews.com📱
First off, what is an eponym fracture?

Eponymous: of, relating to, or being the person or thing for whom or which something is named.

Eponym fractures are named based on the first person to describe them (e.g. Holstein-Lewis) or by an activity (e.g. Chauffer's)
We will review the eponymous fractures of the upper extremity going from proximal to distal.

To start off, what is an eponym for the following lesion?
Read 24 tweets
"The @KyivIndependent recently did a spotlight on many different charities across #Ukraine."

▪Charities that help the war effort, children, elderly, animals... for blood donation and more.

All are linked in post. Please RT.

#UkraineWar #UkraineInvasion
reddit.com/r/ukraine/comm…
This list was published by Forbes Magazine

10 Ways To Help The People Of Ukraine Right Now via @Forbes forbes.com/sites/gabbysha…
Read 137 tweets
An in-depth review of Humeral Shaft Fractures.

If you’re interested in orthopedics, you’ll definitely want to check this review out!

🦴⚒️🧵👇

To view our past reviews, check out:
💻 myorthoreviews.com📱 Image
The humeral shaft is defined as the area distal to the surgical neck and proximal to the epicondyles.

The commonality of fracture is:
Middle ⅓ > Proximal ⅓ > Distal ⅓ shaft

The deforming forces of humeral shaft fractures usually result in what type of deformity?
Due to the muscular pull of the deltoid on the proximal fragment and medial/superior pull on the distal fragment, humeral shaft fractures tend to develop varus angulation.

Humeral shaft fractures are forgiving, and modest angulation can be overcome by the shoulders' large ROM. Image
Read 16 tweets
An in-depth review of ACL injury.

If you're interested in sports medicine, you won't want to miss this one!

🦴⚒️🧵👇

To view our past reviews, check out:
💻 myorthoreviews.com📱
The ACL is the primary restraint to anterior tibial translation and also plays a role in rotary stability

It is composed of two bundles, named based on their tibial insertions:
✯ Anteromedial
✯ Posterolateral

What structure separates the femoral insertions of the two bundles?
AM bundle:
✯ Tightest in Flexion
✯ Resists anterior tibial translation
✯ Tested by Lachman's/Anterior Drawer

PL bundle:
✯ Tightest in Extension
✯ Rotatory Restraint
✯ Tested by Pivot Shift

The bifurcate ridge separates the femoral insertions of the AM and PL bundles.
Read 17 tweets
An in-depth review of Proximal Humerus Fractures.

If you're interested in orthopedics you won't want to miss this one!

🦴⚒️🧵👇

To view our past reviews visit: myorthoreviews.com
Proximal humerus fractures are common, accounting for around 5% of all fractures with increasing frequency with age.

They are most common in elderly females and are considered a fragility fracture.

Which nerve is most commonly injured in proximal humerus fractures?
The axillary nerve passes medial to the surgical neck and is most commonly injured in proximal humerus fractures.

Sensation testing over the lateral shoulder may be performed as deltoid testing may be difficult.

Which artery provides the main blood supply to the humeral head?
Read 16 tweets
An in-depth review of Clavicle Fractures.

If you're interested in orthopedics you won't want to miss this one!

🦴⚒️🧵👇
Clavicle fractures are typically the result of a fall onto the shoulder and are one of the most common fractures in children.

They may also occur from direct trauma, seizures, or a fall onto an outstretched hand (FOOSH).
The clavicle serves as the connection between the UE and axial skeleton.

It is the first bone to ossify and the last to fuse. It is S-shaped and widest medially.

Most fractures occur in the middle 1/3rd, roughly 80%, which is the thinnest segment.
Read 17 tweets
An in-depth review of intertrochanteric and subtrochanteric hip fractures.

If you're interested in orthopedics you won't want to miss this one!

🦴⚒️🧵👇
Basicervical femoral neck, intertrochanteric (IT), and subtrochanteric (ST) hip fractures are different from femoral neck fractures in that they are extracapsular.

Extracapsular fractures, unlike intracapsular femoral neck fx, have a low likelihood of blood supply disruption/AVN
Anatomy:
The calcar femorale is an extension of cortical bone from the proximal shaft to the posteromedial femoral neck. It aids in weight distribution from the hip to the proximal femoral shaft.

The subtrochanteric region extends 5 cm below the lesser trochanter.
Read 14 tweets
An in-depth review of Ankle Fractures.

If you're interested in orthopedics you'll definitely want to check this review out!

🦴⚒️🧵👇
The ankle is a complex hinge joint comprised of the tibial plafond, talar dome, and distal fibula.

Ankle fractures most commonly occur in elderly females, with roughly 70% being isolated malleolar, 20% being bimalleolar, and 5-10% being trimalleolar. (1)
When first examining a patient with an ankle injury, you can utilize the Ottawa Ankle Rules to determine if you should x-ray the patient.

Our review of The Ottawa Ankle Rules can be found here:
Read 20 tweets
The #narcissist cannot exist without their #narcissisticagents (flying monkeys), who do their work for them, participating in #narcissisticabuse by proxy. There is alot of information out there on narcissists, but little on their ‘agents’. What type of person becomes an agent?
People who resonate with a #narcissists victimhood or grievance, are highly Suggestible, easily manipulated, socially naive, lack #boundaries have blind trust in the narcissist, need a leader or to be led, are easily deceived and used. All narcissists use their audience
& people as a means of #control Their agents are not ‘human’ to them. They are viewed an ‘objects’ for their own agenda. They gossip, deceive & lie to their Agents. They may bring them on board for their ‘cause’. If an agent accepts, they are agreeing to underlying rules #Control
Read 16 tweets
An in-depth review of Terrible Triad Injuries.

If you're interested in orthopedics you won't want to miss this one!

1/12
Terrible triad injuries are complex posterior elbow dislocations associated with coronoid and radial head fractures as well as capsular and ligamentous injuries.
These injuries commonly result from a fall on an outstretched arm and the structures of the elbow fail from lateral to medial.

LCL --> anterior capsule --> MCL
Read 13 tweets
An in-depth review of pediatric femoral shaft fractures.

If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!

1/10
Pediatric femoral shaft (PFS) fractures constitute a small portion of pediatric fractures roughly 1-2% with a bimodal age distribution

Most common causes:
✯ Toddlers: falls
✯ Teenage/adolescent: MVA
In children younger than walking age child abuse must be suspected. As high as 80% of PFS fractures in this age group are due to child abuse.

In the toddler age group as high as 25% of PFS fractures are due to child abuse, so it must be ruled out.
Read 11 tweets
Forensic Statement Analysis: #Sexualabuse in the language of the perpetrator is often seen by the use of doors, lights, water & coverings. Jonbenet Ramsay was a victim of childhood sexual abuse at the hands of her father.  Statement Analysis shows the connection to "lights"
within statements and sexual activity, and "doors" to childhood #sexualabuse  Repeated studies into these two elements shows a consistent  #linguistic connection.  When taken with the belief that it is rare to lie outright, we consider: Instead of saying, "I found
my daughter in the basement closet" or something else, John Ramsey went to 'narrative' form; that is, to lengthen out information, to explain, where no explanation is needed.  In doing so, he gave us links to sexual abuse without the need to even view
Read 9 tweets
An in-depth review of Slipped Capital Femoral Epiphysis (SCFE).

If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!

1/ Image
SCFE’s are an adolescent hip pathology with an average age of onset of 11-12.

The diagnosis may be initially missed because the patient may present with thigh or knee pain.
Risk factors include:
✯ Obesity
✯ Male gender
✯ Prior radiation
✯ Endocrine abnormalities
✯ Certain ethnicities (e.g. African American)

Obesity is one of the most important and modifiable risk factors.
Read 12 tweets
Today's #POCUS lecture by @mtabbut about the FAST exam in Hemodynamically Pediatric Blunt Abdominal Trauma. #MetroEUS
Aggregate sensitivity of FAST for all intra-abdominal injuries is low. Specificity is high. Remember though, the FAST was designed to look for FF, not all injuries. So if the injury is not associated with FF, the FAST will likely not see it.
So what can we do to increase the sensitivity of the FAST? Serial exams and adjunctive labs.
Read 6 tweets
#Criminalization #SocialServices #WeNeedToDoBetter #Trauma
As someone that has worked in the system this infuriates me. I don’t understand how we think criminalization and involvement of #socialservices in this situation will do anything BUT further #traumatize this family. 1/
On FB I read ‘pearl clutching’ comments that this had occurred two times already. We are in a surreal time, most of us trying to get by. I wonder 💭 how many of those making judgmental comments have struggled to access necessary resources and been placed in a situation where 2/
either option ☝🏼 has is concerning. This sister may struggle with immense guilt, same as with the mother, the family may be separated, she may now lose job, more and more #trauma. Wouldn’t it be amazing if instead assistance is provided 2 mom to access necessary resources so 3/
Read 6 tweets
An in-depth review of Distal Humerus Fractures.

If you're interested in orthopedics you'll definitely want to check this review out.

1/12 Image
The distal humerus is composed of two columns, a medial and lateral column that are connected by the trochlea forming a triangular shape.

The distal humerus has:
40-45° anterior angulation
3-8° internal rotation
4-8° valgus Image
Distal humerus fractures most commonly occur in elderly females due to low energy falls, but may also occur in young adults due to MVA or sporting events.
Read 13 tweets

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