

SilverIO does IOs
Patient is a 27 year-old man status post stab wound with sword to the abdomen. The patient is hypotensive and tachycardic, but oriented. The medics have not been able to get intravenous access yet. Once the patient arrives in the department, it is clear that he is still mentating. He has an open fracture to the left lower extremity and a very large stab wound to the abdomen. Nursing has been unable to obtain peripheral IV after two attempts. Your colleague is attempting a fem

Ortho Hors D'oeuvres (Answer):
To review, this is a 33 year-old man with right foot pain after fall from roof height. Questions and Answers: 1) What is the injury and what is its eponym? There is a disruption of the tarsal-metatarsal joints of the foot caused by ligamentous injury to the lisfranc joint complex. These injuries are typically caused by axial loading on a plantar flexed foot. As you can see below, the second metatarsal typically articulates with all three cuneiforms as well as the first metat


Ortho Hors D'oeuvres (Prompt):
Patient is a 33 year-old construction worker who was laying roof tiles when he slipped and fell one story, landing primarly on his right foot. He had immediate pain and swelling and was unable to bear weight. X-rays show: Questions: 1) What is the injury and what is its eponym? 2) What are the consequences of missing this injury? 3) What are the next steps in management of this injury? #Orthopedicslowerextremity